MS. PAMELA LYNN MORK (NPI# 1326208224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326208224 |
| Entity Type | Individual |
| Full Name | MS. PAMELA LYNN MORK |
| Credential | PTA |
| Practice Address |
4330 Cedar Lake Rd S St Louis Park MN 55416-3700 |
| Mailing Address |
2320 Douglas Dr N Golden Valley MN 55422-3358 |
| Practice Telephone | 9523813434 |
| Practice Fax Number | 9523771430 |
| Mailing Telephone | 9523813434 |
| Mailing Fax Number | 9523771430 |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2008-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | PTA LICENSE | A958 | 01 |
| Street Address |
4330 CEDAR LAKE RD S |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55416-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770595159 | Cheryl L Tibesar | Physical Therapist | 4330 Cedar Lake Rd S, St Louis Park, MN 55416-3700 | 2006-08-13 |
| 1598224107 | Feel The Water Inc | Respite Care | 4330 Cedar Lake Rd S, St Louis Park, MN 55416-3700 | 2019-03-14 |
| 1144710906 | Donna Denise Sandberg | Acupuncturist | 4330 Cedar Lake Rd S, St Louis Park, MN 55416-3700 | 2018-05-16 |
| 1932331931 | Elliot Lewis Miller | Social Worker | 4330 Cedar Lake Rd S, St Louis Park, MN 55416-3700 | 2009-08-10 |
| 1235366170 | Barbara Ruedy Mcglynn | Physical Therapist | 4330 Cedar Lake Rd S, St Louis Park, MN 55416-3700 | 2009-06-18 |
| 1073749719 | Sandra Lee Hepp | Physical Therapist | 4330 Cedar Lake Rd S, St Louis Park, MN 55416-3700 | 2009-06-09 |
| 1528211836 | Bettejane Kremen Goldman | Dietitian, Registered | 4330 Cedar Lake Rd S, St Louis Park, MN 55416-3700 | 2008-10-30 |
| 1982864880 | Deborah Hametz Mintz | Occupational Therapist | 4330 Cedar Lake Rd S, St Louis Park, MN 55416-3700 | 2008-06-13 |
| 1063672970 | Mary Sue Manthie | Occupational Therapist | 4330 Cedar Lake Rd S, St Louis Park, MN 55416-3700 | 2008-06-13 |
| 1396905212 | Raisa Gringauz | Physical Medicine & Rehabilitation | 4330 Cedar Lake Rd S, St Louis Park, MN 55416-3700 | 2008-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) 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 |
|---|---|---|---|---|
| 1811308877 | Aaron Nyborg | Physical Therapy Assistant | 7619 Cedar Lake Rd S, St Louis Park, MN 55426-2539 | 2014-05-13 |
| 1821523267 | Donna Lynne Menne I | Physical Therapy Assistant | 7900 W 28th St, St Louis Park, MN 55426-3011 | 2017-04-24 |
| 1962854703 | Tristin Sheffer | Physical Therapy Assistant | 7900 W 28th St, St Louis Park, MN 55426-3011 | 2016-07-05 |
| 1235502337 | Emily Miller | Physical Therapy Assistant | 4415 W 36 1/2 St, St Louis Park, MN 55416-4854 | 2015-11-11 |
| 1669851986 | Thomas Klusmann | Physical Therapy Assistant | 5525 Cedar Lake Rd S, St Louis Park, MN 55416-1420 | 2015-05-19 |
| 1023453123 | Malia L King | Physical Therapy Assistant | 4415 W 36 1/2 St, St Louis Park, MN 55416-4854 | 2013-05-02 |
| 1639423809 | Thomas Heifner | Physical Therapy Assistant | 4415 W 36 1/2 St, St Louis Park, MN 55416-4854 | 2012-11-09 |
| 1720332083 | Kelsey Christine Moyer | Physical Therapy Assistant | 4415 W 36 1/2 St, St Louis Park, MN 55416-4854 | 2012-11-07 |
| 1396021127 | Brittany Kersting | Physical Therapy Assistant | 7900 W 28th St, St Louis Park, MN 55426-3011 | 2011-10-25 |
| 1629354477 | Jennifer J Mastro | Physical Therapy Assistant | 4415 W 36 1/2 St, St Louis Park, MN 55416-4854 | 2011-10-25 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55416 |
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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.