| Advance Therapy | |
|
6776 Lake Dr, Suite 220, Lino Lakes, MN 55014-1156 | |
| (651) 784-7007 | |
| (651) 784-7992 |
| Full Name | Advance Therapy |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 6776 Lake Dr, Lino Lakes, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174730899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | 102776 (Minnesota) | Primary |
| Provider Name | Shari J Weyer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538268586 PECOS PAC ID: 3678474673 Enrollment ID: I20040114000081 |
| Provider Name | Lia L Del Sol |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952565699 PECOS PAC ID: 5496030702 Enrollment ID: I20170329002148 |
| Provider Name | Hannah R Stegora |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437656113 PECOS PAC ID: 6204234180 Enrollment ID: I20211006003287 |
| Provider Name | Megan Elizabeth Rosauer Gray |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023687043 PECOS PAC ID: 5799186490 Enrollment ID: I20211018001528 |
| Provider Name | Katelyn M Rascher |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164165726 PECOS PAC ID: 0345628814 Enrollment ID: I20220613001253 |
| Provider Name | Laura C Hafemeyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215225503 PECOS PAC ID: 1658753587 Enrollment ID: I20220826000831 |
| Provider Name | Alexa Piekarski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881389997 PECOS PAC ID: 9032576210 Enrollment ID: I20230602000503 |
| Provider Name | Mia R Massaro |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518525906 PECOS PAC ID: 8325497522 Enrollment ID: I20231213002546 |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Therapy 6776 Lake Dr, Suite 220, Lino Lakes, MN 55014-1156 Ph: (651) 784-7007 | Advance Therapy 6776 Lake Dr, Suite 220, Lino Lakes, MN 55014-1156 Ph: (651) 784-7007 |
Megan Elizabeth Rosauer Gray, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 6776 Lake Dr Ste 220, Lino Lakes, MN 55014 Phone: 651-784-7007 | |
Paula Jean Metling, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6776 Lake Dr Ste 220, Lino Lakes, MN 55014 Phone: 651-784-7007 Fax: 651-784-7992 | |
Victoria Holmquist, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6776 Lake Dr, Lino Lakes, MN 55014 Phone: 651-784-7007 | |
Emily Jane Iniguez, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6776 Lake Dr, 220, Lino Lakes, MN 55014 Phone: 651-784-7007 Fax: 651-784-7992 | |
Katelyn Marie Rascher, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 6776 Lake Dr Ste 220, Lino Lakes, MN 55014 Phone: 651-784-7007 | |
Amanda Overlie, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6776 Lake Dr Ste 220, Lino Lakes, MN 55014 Phone: 651-784-7007 |