Michelle Marie Perault-boughton, PT | |
4080 W Broadway Ave, #300, Robbinsdale, MN 55422-5604 | |
(763) 533-0541 | |
Not Available |
Full Name | Michelle Marie Perault-boughton |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 37 Years |
Location | 4080 W Broadway Ave, Robbinsdale, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346357035 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 4137 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fairview Express Care | 3375645179 | 1537 |
Provider Name | Fairview Health Services |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
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 |
Mailing Address | Practice Location Address |
---|---|
Michelle Marie Perault-boughton, PT 1330 Xerxes Ave N, Minneapolis, MN 55411-2848 Ph: () - | Michelle Marie Perault-boughton, PT 4080 W Broadway Ave, #300, Robbinsdale, MN 55422-5604 Ph: (763) 533-0541 |
Lauren Stavenger, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3815 W Broadway Ave, Robbinsdale, MN 55422 Phone: 612-332-4262 | |
Ian Michael Topping, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4080 W Broadway Ave, Suite 200, Robbinsdale, MN 55422 Phone: 763-398-8888 | |
Deborah Susan Talmage, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4080 W Broadway Ave, #300, Robbinsdale, MN 55422 Phone: 763-533-0541 | |
Aaron Anderson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3815 W Broadway Ave, Robbinsdale, MN 55422 Phone: 612-332-4262 | |
Jinal Kairav Vakil, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4080 West Broadway Ave Ste 300, Robbinsdale, MN 55422 Phone: 317-850-0784 | |
Marie Y Armstrong, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3366 Oakdale Ave N Ste 103, Robbinsdale, MN 55422 Phone: 763-520-7870 Fax: 763-520-7580 | |
Allyson C Sima, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3366 Oakdale Ave N Ste 103, Robbinsdale, MN 55422 Phone: 763-520-7870 Fax: 763-520-7580 |