Mark Laraway, DPT | |
430 5th St N, Breckenridge, MN 56520-1426 | |
(218) 641-7725 | |
(218) 641-6625 |
Full Name | Mark Laraway |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 8 Years |
Location | 430 5th St N, Breckenridge, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548713357 | NPI | - | NPPES |
1470616 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 3626 (Nebraska) | Secondary |
225100000X | Physical Therapist | 10615 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Total Balance Physical Therapy And Fitness Llc | 8820356991 | 22 |
Provider Name | Total Balance Physical Therapy And Fitness Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1588175061 PECOS PAC ID: 8820356991 Enrollment ID: O20171219000003 |
Mailing Address | Practice Location Address |
---|---|
Mark Laraway, DPT 430 5th St N, Breckenridge, MN 56520-1426 Ph: (218) 641-7725 | Mark Laraway, DPT 430 5th St N, Breckenridge, MN 56520-1426 Ph: (218) 641-7725 |
Gwen Humann, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 430 5th St N, Breckenridge, MN 56520 Phone: 218-641-7725 Fax: 218-641-6625 | |
Jennifer L Schalekamp, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 430 5th St N, Breckenridge, MN 56520 Phone: 218-641-7725 Fax: 218-641-6625 | |
Hannah Riveland, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2400 St Francis Dr, Breckenridge, MN 56520 Phone: 218-643-3000 | |
Kaylen Podjaski, PT, DPT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 430 5th St N, Breckenridge, MN 56520 Phone: 218-641-7725 | |
Denise Rita Jelinek, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2400 St Francis Dr, Breckenridge, MN 56520 Phone: 218-643-0345 Fax: 218-643-0853 | |
Kyle Gregerson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2400 St Francis Dr, Breckenridge, MN 56520 Phone: 218-643-0345 | |
Sarah Lansing, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2400 St Francis Dr, Breckenridge, MN 56520 Phone: 218-643-3000 |