NORTHERN STAR THERAPY LTD (NPI# 1407869662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407869662 |
| Entity Type | Organization |
| Organization Name | NORTHERN STAR THERAPY LTD |
| Practice Address |
166 19th St S Suite 202 Sartell MN 56377-2153 |
| Mailing Address |
251 County Rd 120 Suite A Saint Cloud MN 56303 |
| Practice Telephone | 3202572225 |
| Practice Fax Number | 3202572226 |
| Mailing Telephone | 3202595429 |
| Mailing Fax Number | 3202408905 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2010-03-30 |
| Authorized Official Name | DAN WEAVER (CEO) |
| Authorized Official Telephone | 3202406955 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS BLUE SHIELD OF MN | 6B481NO | 01 |
| MN | 234211100 | 05 | |
| MN | BLUE CROSS BLUE SHIELD OF MN | 4G183NO | 01 |
| MN | BLUE CROSS BLUE SHIELD OF MN | 264M1NO | 01 |
| MN | 748070900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275856304 | Northern Star Therapy Ltd | Occupational Therapist | 2395 Troop Dr, Suite 102, Sartell, MN 56377-4694 | 2010-03-03 |
| 1679751804 | Northern Star Therapy Ltd | Durable Medical Equipment & Medical Supplies | 166 19th St S, Suite 202, Sartell, MN 56377-4654 | 2008-02-11 |
| 1215115449 | Northern Star Therapy Ltd | Durable Medical Equipment & Medical Supplies | 251 County Road 120, Suite A, Saint Cloud, MN 56303 | 2008-02-11 |
| 1598778755 | Northern Star Therapy Ltd | Occupational Therapist | 1301 33rd St S, Suite 210, Saint Cloud, MN 56301-9668 | 2006-08-15 |
| 1821031287 | Northern Star Therapy Ltd | Occupational Therapist | 251 County Road 120, Suite A, Saint Cloud, MN 56303 | 2006-06-14 |
| Street Address |
166 19TH ST S SUITE 202 |
| City | SARTELL |
| State | MN |
| Zip Code | 56377-2153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972580454 | Ramon P Sotto | Physical Medicine & Rehabilitation | 166 19th St S, Suite 101, Sartell, MN 56377-4654 | 2005-12-27 |
| 1083161814 | St. Cloud Hospital | Counselor | 166 19th St S, Suite 201, Sartell, MN 56377-4654 | 2016-09-09 |
| 1346622644 | Carolyn Ann Yavarow | Nurse Practitioner | 166 19th St S, Suite 101, Sartell, MN 56377-4654 | 2015-06-23 |
| 1619314184 | William Andrew Wallington | Nurse Practitioner | 166 19th St S, Suite 101, Sartell, MN 56377-4654 | 2013-05-23 |
| 1366755415 | Stephen D Vang | Physician Assistant | 166 19th St S, Suite 101, Sartell, MN 56377-4654 | 2010-07-19 |
| 1942434436 | Jeffrey Ross Anderson | Anesthesiology | 166 19th St S, Suite 101, Sartell, MN 56377-4654 | 2009-05-12 |
| 1528207156 | Carl John Fedyszyn | Family Medicine | 166 19th St S, Suite #201, Sartell, MN 56377-4654 | 2009-02-04 |
| 1558536755 | Barbara Ann Weber | Clinical Nurse Specialist | 166 19th St S, Suite 101, Sartell, MN 56377-4654 | 2008-04-28 |
| 1679751804 | Northern Star Therapy Ltd | Durable Medical Equipment & Medical Supplies | 166 19th St S, Suite 202, Sartell, MN 56377-4654 | 2008-02-11 |
| 1205037538 | Ryan Patrick Wippler | Radiology | 166 19th St S, Suite 100, Sartell, MN 56377-4654 | 2007-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235783515 | Chae Norman | Massage Therapist | 303 4th Ave S, Suite C, Sartell, MN 56377 | 2019-07-25 |
| 1497317259 | Stephanie Maria Schaefer | Behavioral Analyst | 1133 Mockingbird Loop, Sartell, MN 56377 | 2019-07-02 |
| 1538722848 | Madison Toughill | Behavior Technician | 205 14th Ave E, Sartell, MN 56377 | 2019-04-22 |
| 1902388671 | Julie Ann Helms | Counselor | 101 Dehler Dr., Sartell, MN 56377 | 2018-08-30 |
| 1104337617 | Louis Chester Winskowski IIi | Orthotist | 50 14th Ave E Suite 114, Sartell, MN 56377 | 2017-10-24 |
| 1962958611 | Centracare Clinic | Exclusive Provider Organization | 166 19th Street S, Suite 202, Sartell, MN 56377 | 2016-08-31 |
| 1295197846 | Mindful Healing & Training | Counselor | 1417 15th Street South, Sartell, MN 56377 | 2016-03-23 |
| 1710342894 | Saint Cloud Hospital St. Benedict's Senior Community | Skilled Nursing Facility | 990 19th St. S., Sartell, MN 56377 | 2015-12-16 |
| 1932452661 | David Peter Pogatchnik | Pharmacist | 2251 Connecticut Ave. South, Health Partners Central Minnesota Clinics (pharmacy), Sartell, MN 56377 | 2012-10-18 |
| 1669759866 | Lakewood Health System | Clinic/Center | 161 19th St S Ste 106, Sartell, MN 56377 | 2011-11-16 |
| Find all providers in zip 56377 | ||||
| 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 |
|---|---|---|---|---|
| 1447884218 | Kjell Peter Mann | Physical Therapist | 2460 35th St N, Sartell, MN 56377-2435 | 2020-03-02 |
| 1073874079 | Nathan Wilbert Fogarty | Physical Therapist | 2251 Connecticut Ave S Ste 3600, Sartell, MN 56377-2556 | 2012-06-06 |
| 1255645719 | Kimberly Mohs | Physical Therapist | 908 5th Ave E, Sartell, MN 56377-1269 | 2010-07-27 |
| 1730338377 | Michelle Marie Burton | Physical Therapist | 2301 Connecticut Ave S, Sartell, MN 56377 | 2008-09-18 |
| 1679752372 | Christine Fischer | Physical Therapist | 1909 8th St N, Sartell, MN 56377-2078 | 2007-10-30 |
| 1063023828 | Isaiah Schwindt | Physical Therapist | 2301 Connecticut Ave S, Sartell, MN 56377-2474 | 2020-08-13 |
| 1144880956 | Sarah Alece Roehl | Physical Therapist | 2251 Connecticut Ave S Ste 3600, Sartell, MN 56377-2556 | 2019-06-14 |
| 1609342203 | Matthew Thomas Baltus | Physical Therapist | 2301 Connecticut Ave S, Sartell, MN 56377-2474 | 2018-10-22 |
| 1417468703 | Jennifer Lee Garding | Physical Therapist | 100 2nd St S, Sartell, MN 56377-1977 | 2017-10-13 |
| 1316475684 | Makayla Olsen | Physical Therapist | 2251 Connecticut Ave S Ste 3600, Sartell, MN 56377-2556 | 2017-05-31 |
| Find all providers in SARTELL | ||||
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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.