STACEY M GORMAN (NPI# 1982743688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982743688 |
| Entity Type | Individual |
| Full Name | STACEY M GORMAN |
| Credential | P.T. |
| Practice Address |
225 N Benton Dr Suite 110 Sauk Rapids MN 56379-1575 |
| Practice Telephone | 3202522225 |
| Practice Fax Number | 3202522159 |
| Mailing Telephone | 3202522225 |
| Mailing Fax Number | 3202522159 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 7051 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS & BLUE SHIELD | 510L2GO | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821642141 | Stacey Lynn Gorman | Behavioral Analyst | 2 Esther Ct, Lakewood, NJ 08701-2946 | 2019-07-25 |
| 1457361156 | Stacey Gorman | Pediatrics | 2630 Union Lake Rd, Suite 100, Commerce Township, MI 48382-3582 | 2006-08-08 |
| Street Address |
225 N BENTON DR SUITE 110 |
| City | SAUK RAPIDS |
| State | MN |
| Zip Code | 56379-1575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356452163 | Timothy Paul Tinius | Clinical Neuropsychologist | 225 N Benton Dr, Suite 104, Sauk Rapids, MN 56379-1575 | 2006-08-31 |
| 1851694855 | Tim Tinius Phd Pa | Clinical Neuropsychologist | 225 N Benton Dr, #104, Sauk Rapids, MN 56379-1575 | 2010-12-13 |
| 1831404953 | Spinal Rehab Clinics, Pa | Durable Medical Equipment & Medical Supplies | 225 N Benton Dr, Suite 105, Sauk Rapids, MN 56379-1575 | 2010-08-12 |
| 1306985288 | Joseph Michael Mckiernan | Chiropractor | 225 N Benton Dr, Suite 105, Sauk Rapids, MN 56379-1575 | 2007-02-06 |
| 1982743662 | Daniel T Carlson | Chiropractor | 225 N Benton Dr, Suite 105, Sauk Rapids, MN 56379-1575 | 2007-02-06 |
| 1518006428 | Charles L Thompson | Chiropractor | 225 N Benton Dr, Suite 105, Sauk Rapids, MN 56379-1575 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366902116 | Tamara Jean Christopherson | Massage Therapist | 1000 South Benton Drive Suite 415, Sauk Rapids, MN 56379 | 2019-03-20 |
| 1144718594 | Jeanne Twohy Sopcinski | Registered Nurse | Independent Lifestyles, 215 North Benton Dr, Sauk Rapids, MN 56379 | 2018-05-01 |
| 1447748728 | Mamusu Lamin | Social Worker | Independent Life Styles, Inc, 215 N. Benton Drive, Sauk Rapids, MN 56379 | 2018-04-23 |
| 1518486570 | Mw Sauk Rapids Operating, LLC | Assisted Living Facility | 1325 Summit Avenue North, Sauk Rapids, MN 56379 | 2017-09-11 |
| 1942724505 | Ashley Ann Borth | Registered Nurse | 215 N Benton Drive, Independent Lifestyles, Inc, Sauk Rapids, MN 56379 | 2017-07-26 |
| 1568905115 | April May Richardson | Registered Nurse | 215 North Benton Drive, Independent Lifestyles, Inc, Sauk Rapids, MN 56379 | 2016-11-30 |
| 1841616877 | St. Cloud Hospital | Substance Abuse Rehabilitation Facility | 1495 10th Ave Ne, Sauk Rapids, MN 56379 | 2014-03-14 |
| 1811264575 | Pamela Berglund | Physical Therapist | 115 18th St Sw 209, Sauk Rapids, MN 56379 | 2011-11-23 |
| 1407141419 | Becky Ann Canon | Registered Nurse | 215 North Benton Dr, Independent Lifestyles Inc., Sauk Rapids, MN 56379 | 2011-06-17 |
| 1811100860 | Chris Matthew Mcgrew | Dentist | 22 2nd Av S, Sauk Rapids, MN 56379 | 2007-05-07 |
| Find all providers in zip 56379 | ||||
| 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 |
|---|---|---|---|---|
| 1811264575 | Pamela Berglund | Physical Therapist | 115 18th St Sw 209, Sauk Rapids, MN 56379 | 2011-11-23 |
| 1154607315 | Sarah Schuchard | Physical Therapist | 3138 Olympus Dr Ne, Sauk Rapids, MN 56379-4422 | 2011-11-01 |
| 1548566052 | Kimberly K Krogstad | Physical Therapist | 1205 Meadows Dr, Sauk Rapids, MN 56379-2574 | 2011-01-31 |
| 1598896326 | Spinal Rehab Clinics, Pa | Physical Therapist | 225 N Benton Dr Ste 110, Sauk Rapids, MN 56379-1575 | 2007-03-07 |
| 1255851655 | Patricia Regnier | Physical Therapist | 1009 10th Ave Ne, Sauk Rapids, MN 56379-9448 | 2017-06-27 |
| 1881134955 | Aegis Group Practice, LLC | Physical Therapist | 1009 10th Ave Ne, Sauk Rapids, MN 56379-9448 | 2017-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221475 | Lauran Hellbusch | Physical Therapist | 108 Ramsey Ave W, Atwater, MN 56209-1085 | 2020-10-08 |
| 1841897279 | Kaci Ann Hemmesch | Physical Therapist | 50 Margaret Ave Ne, Blackduck, MN 56630-4509 | 2020-10-08 |
| 1508473851 | Natalie Barron | Physical Therapist | 5466 Saint Croix Trl Ste 107, North Branch, MN 55056-4204 | 2020-09-29 |
| 1073129227 | Joshua Joseph Baker | Physical Therapist | 5979 193rd St W, Farmington, MN 55024-7101 | 2020-09-22 |
| 1720693542 | Joshua M Still | Physical Therapist | 829 Lake Ave S, Suite B, Park Rapids, MN 56470 | 2020-09-09 |
| 1760096424 | Fluid Health and Fitness Inc | Physical Therapist | 5639 Memorial Ave N, Stillwater, MN 55082-1092 | 2020-09-01 |
| 1154933240 | Gabriel Langseth | Physical Therapist | 707 4th Ave Se, Stewartville, MN 55976-1411 | 2020-08-19 |
| 1114539590 | Health Intended | Physical Therapist | 1054 Elizabeth St, Hawley, MN 56549-4443 | 2020-08-18 |
| 1245841535 | Lindsey John | Physical Therapist | 17810 Hollybrook Trl, Lakeville, MN 55044-6660 | 2020-08-11 |
| 1508477068 | Lifestyle Physical Therapy, LLC | Physical Therapist | 6940 Newbury Rd, Woodbury, MN 55125-4500 | 2020-08-10 |
| Find all providers with the same taxonomy | ||||
| City | SAUK RAPIDS |
| Zip Code | 56379 |
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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.