SAMANTHA GOUDE (NPI# 1023551108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023551108 |
| Entity Type | Individual |
| Full Name | SAMANTHA GOUDE |
| Credential | DPT |
| Practice Address |
4572 County Road 61 Moose Lake MN 55767-9401 |
| Practice Telephone | 2184855823 |
| Practice Fax Number | 2184855865 |
| Mailing Telephone | 2184855823 |
| Mailing Fax Number | 2184855865 |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 10386 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4572 COUNTY ROAD 61 |
| City | MOOSE LAKE |
| State | MN |
| Zip Code | 55767-9401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508809930 | Mark Conrad Gregerson | Orthopaedic Surgery | 4572 County Road 61, Moose Lake, MN 55767-9401 | 2006-06-14 |
| 1609494657 | Nicholas T Allard | Physical Therapist | 4572 County Road 61, Moose Lake, MN 55767-9401 | 2020-07-07 |
| 1295353258 | Jennifer S Gangelhoff | Occupational Therapist | 4572 County Road 61, Moose Lake, MN 55767-9401 | 2020-07-07 |
| 1164040176 | Ashley I Omar | Occupational Therapist | 4572 County Road 61, Moose Lake, MN 55767-9401 | 2020-07-07 |
| 1134747140 | Claire L Rosen | Occupational Therapist | 4572 County Road 61, Moose Lake, MN 55767-9401 | 2020-07-07 |
| 1750909735 | Keri A Halverson | Speech-Language Pathologist | 4572 County Road 61, Moose Lake, MN 55767-9401 | 2020-07-07 |
| 1629696620 | Magdalena K Hoelmer | Physical Therapist | 4572 County Road 61, Moose Lake, MN 55767-9401 | 2020-07-07 |
| 1932738218 | Essentia Health Moose Lake | Medicare Defined Swing Bed Unit | 4572 County Road 61, Moose Lake, MN 55767-9401 | 2020-04-07 |
| 1154959880 | Essentia Health Moose Lake | General Acute Care Hospital | 4572 County Road 61, Moose Lake, MN 55767-9401 | 2020-03-30 |
| 1245758234 | James Alan Mach Jr. | Nurse Anesthetist, Certified Registered | 4572 County Road 61, Moose Lake, MN 55767-9401 | 2017-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437778529 | Essentia Health Moose Lake | Home Health | 30 Arrowhead Ln, Moose Lake, MN 55767 | 2020-04-09 |
| 1841775475 | Katherine Mcdowell | Social Worker | 451 Arrowhead Lane, Moose Lake, MN 55767 | 2018-09-28 |
| 1316191786 | Vision Pro | Optometrist | 125 W Arrowhead Rd, Moose Lake, MN 55767 | 2008-11-11 |
| 1265627327 | Dr. Joseph J. Jamros Optometry, Ltd. | Optometrist | 312 Elm Ave., Moose Lake, MN 55767 | 2007-09-12 |
| 1013108075 | Diane Louise Stellrecht | Psychologist | 505 3rd Street, Suite A, Moose Lake, MN 55767 | 2007-08-06 |
| 1073674529 | Downtown Dental Care Pa | Dentist | 304 Elm Ave, Moose Lake, MN 55767 | 2006-12-12 |
| 1760558399 | Joseph John Jamros | Optometrist | 312 Elm Ave, Moose Lake, MN 55767 | 2006-11-27 |
| 1205909991 | Msocs-moose Lake | Intermediate Care Facility, Mentally Retarded | 305 4th St, Moose Lake, MN 55767 | 2006-11-17 |
| 1295804482 | Moose Lake Community Hospital District | Home Health | 30 Arrowhead Lane, Moose Lake, MN 55767 | 2006-11-06 |
| 1396770772 | Sonja M. Roach | Nurse Practitioner | 4570 County Highway 61, Moose Lake, MN 55767 | 2006-07-12 |
| Find all providers in zip 55767 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700118197 | Amy Jo Forbes | Physical Therapist | 4570 County Road 61, Moose Lake, MN 55767-9401 | 2010-02-10 |
| 1396919031 | Lynn Marie Folsted | Physical Therapist | 4750 County Road 61, Moose Lake, MN 55767-9212 | 2008-04-14 |
| 1609494657 | Nicholas T Allard | Physical Therapist | 4572 County Road 61, Moose Lake, MN 55767-9401 | 2020-07-07 |
| 1629696620 | Magdalena K Hoelmer | Physical Therapist | 4572 County Road 61, Moose Lake, MN 55767-9401 | 2020-07-07 |
| 1215367412 | Allyson Loupe | Physical Therapist | 4570 County Road 61, Moose Lake, MN 55767-9401 | 2013-11-25 |
| 1528212586 | Luann Joyce Charboneau | Physical Therapist | 710 S Kenwood Ave, Moose Lake, MN 55767-9405 | 2008-11-04 |
| 1851544290 | Richard Dean Jacobs | Physical Therapist | 710 S Kenwood Ave, Moose Lake, MN 55767-9405 | 2008-10-29 |
| 1063665503 | Ronald William Neva | Physical Therapist | 710 S Kenwood Ave, Moose Lake, MN 55767-9405 | 2008-10-28 |
| 1932352473 | Amy Michelle Oakes | Physical Therapist | 710 S Kenwood Ave, Moose Lake, MN 55767-9405 | 2008-10-28 |
| 1558514091 | Debra Kay Schuerman | Physical Therapist | 710 S Kenwood Ave, Moose Lake, MN 55767-9405 | 2008-10-28 |
| Find all providers in MOOSE LAKE | ||||
| City | MOOSE LAKE |
| Zip Code | 55767 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.