| Minnetonka Pediatric Therapy Center, Llc | |
|
15600 36th Ave N Ste 120, Plymouth, MN 55446-3687 | |
| (763) 595-0812 | |
| (763) 595-0824 |
| Full Name | Minnetonka Pediatric Therapy Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 15600 36th Ave N Ste 120, Plymouth, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891998035 | NPI | - | NPPES |
| 323915000 | Medicaid | MN |
| Provider Name | Lindsay R Barrett |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1174793863 PECOS PAC ID: 0143520882 Enrollment ID: I20151201002955 |
| Provider Name | Emily Nicole Peck Tuttle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881254506 PECOS PAC ID: 6709114051 Enrollment ID: I20190823001485 |
| Provider Name | Megan L Stumpf |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1083227573 PECOS PAC ID: 1355752452 Enrollment ID: I20201120001842 |
| Provider Name | Brittany Winter |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528627783 PECOS PAC ID: 1850704263 Enrollment ID: I20210104000922 |
| Provider Name | Andrea A Janike |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679164198 PECOS PAC ID: 6901212117 Enrollment ID: I20210315000944 |
| Provider Name | Tyler P Gansen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972260594 PECOS PAC ID: 1951788587 Enrollment ID: I20220519001432 |
| Provider Name | Annalyn Alt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1912514258 PECOS PAC ID: 0042681009 Enrollment ID: I20230130002572 |
| Provider Name | Claire Elizabeth Wagner |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1912537697 PECOS PAC ID: 1254703135 Enrollment ID: I20230202003331 |
| Provider Name | Jennifer Brady-johnson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164807673 PECOS PAC ID: 4385954676 Enrollment ID: I20231002001118 |
| Mailing Address | Practice Location Address |
|---|---|
| Minnetonka Pediatric Therapy Center, Llc 15600 36th Ave N Ste 120, Plymouth, MN 55446-3687 Ph: (763) 595-0812 | Minnetonka Pediatric Therapy Center, Llc 15600 36th Ave N Ste 120, Plymouth, MN 55446-3687 Ph: (763) 595-0812 |
Kristyne Bazinet, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2600 Fernbrook Ln N Ste 138, Plymouth, MN 55447 Phone: 952-544-0349 | |
Kari Shoemaker, M.S Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5855 Cheshire Parkway, Plymouth, MN 55446 Phone: 763-553-7600 | |
Amber J Bartlett, M.S., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 14130 23rd Ave N, Plymouth, MN 55447 Phone: 763-383-7666 Fax: 763-383-6013 | |
Megan Stumpf, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 15600 36th Ave N Ste 120, Plymouth, MN 55446 Phone: 763-595-0812 Fax: 763-595-0824 | |
Megan L Wroblewski, MS CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3021 Harbor Ln N Ste 120, Plymouth, MN 55447 Phone: 763-551-3652 | |
Eric William Ernest, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14425 8th Ave N, Plymouth, MN 55447 Phone: 763-607-2091 Fax: 763-550-1633 | |
Anne R Lindgren, CCC, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3001 Harbor Ln N, Suite 120, Plymouth, MN 55447 Phone: 763-551-3652 Fax: 763-551-1334 |