| Kristeen Laura Groth, OTR | |
|
1768 Oakwood Dr, Suite 120, Shoreview, MN 55126-4939 | |
| (612) 730-8272 | |
| (866) 409-6687 |
| Full Name | Kristeen Laura Groth |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1768 Oakwood Dr, Shoreview, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265545776 | NPI | - | NPPES |
| 729440900 | Medicaid | MN | |
| 392L4BO | Other | MN | BCBS |
| 181587 | Other | MN | UCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 100848 (Minnesota) | Primary |
| Provider Name | Fairview Express Care |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Provider Name | Healtheast Outpatient Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1225382526 PECOS PAC ID: 0941447304 Enrollment ID: O20130503000040 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristeen Laura Groth, OTR 1768 Oakwood Dr, Suite 120, Shoreview, MN 55126-4939 Ph: (612) 730-8272 | Kristeen Laura Groth, OTR 1768 Oakwood Dr, Suite 120, Shoreview, MN 55126-4939 Ph: (612) 730-8272 |
Rebecca Lea Pilet, MOT, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5891 Rice Creek Pkwy Unit 132, Shoreview, MN 55126 Phone: 651-366-9314 | |
Rebecca Moos, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 490 Highway 96 W, Shoreview, MN 55126 Phone: 651-415-5490 | |
Olivia Zoner, OT, D Occupational Therapist Medicare: Medicare Enrolled Practice Location: 490 Highway 96 W, Suite 300, Shoreview, MN 55126 Phone: 651-451-3016 Fax: 651-481-7040 | |
Natalie Rene Wilmes, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 490 Highway 96 W Ste 300, Shoreview, MN 55126 Phone: 651-451-3016 Fax: 651-481-7040 | |
Molly Hunter, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5985 Rice Creek Pkwy Ste 205, Shoreview, MN 55126 Phone: 612-888-4757 | |
Kristin M Horky, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 490 Highway 96 W, Suite 300, Shoreview, MN 55126 Phone: 651-451-3016 Fax: 651-481-7040 |