| Michelle Renee Bergren, PT | |
|
3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | |
| (952) 993-3037 | |
| Not Available |
| Full Name | Michelle Renee Bergren |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 3800 Park Nicollet Blvd, St Louis Park, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063588101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 7293 (Minnesota) | Primary |
| Provider Name | Fox Rehabilitation Services Mn Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1356802862 PECOS PAC ID: 0941542591 Enrollment ID: O20190430002455 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Renee Bergren, PT 6465 Wayzata Blvd, Ste 315, St Louis Park, MN 55426-1728 Ph: () - | Michelle Renee Bergren, PT 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 Ph: (952) 993-3037 |
Mary Katherine Kosanda, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-6014 | |
Sarah Sween Ramer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6465 Wayzata Blvd, Ste 315, St Louis Park, MN 55426 Phone: 952-993-7169 Fax: 952-993-0300 | |
Jennifer A Deutz, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5900 | |
Nicole Williams, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3912 Excelsior Blvd, St Louis Park, MN 55416 Phone: 952-835-4512 Fax: 888-425-0398 | |
Angela Marie Johnson, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5900 | |
Afton Rose Wise, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000 | |
Kathy Ann Kurdelmeier, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5486 |