Nicole Schroeder, PT, DPT | |
2112 Broadway St Ne Ste 195, Minneapolis, MN 55413-3093 | |
(612) 767-9917 | |
(612) 767-9918 |
Full Name | Nicole Schroeder |
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Gender | Female |
Speciality | Physical Therapist |
Location | 2112 Broadway St Ne Ste 195, Minneapolis, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629760780 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 13127 (Minnesota) | Primary |
Provider Name | Odom Sports Medicine Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275557886 PECOS PAC ID: 0143485607 Enrollment ID: O20120706000533 |
Mailing Address | Practice Location Address |
---|---|
Nicole Schroeder, PT, DPT 1939 Minnehaha Ave W Ste 300, Saint Paul, MN 55104-1033 Ph: (651) 748-4338 | Nicole Schroeder, PT, DPT 2112 Broadway St Ne Ste 195, Minneapolis, MN 55413-3093 Ph: (612) 767-9917 |
Mrs. Allison Lydia Dahl, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: One Veterans Drive, Minneapolis, MN 55417 Phone: 612-725-2000 Fax: 612-725-2049 | |
Shane Pochant, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3915 Golden Valley Rd, Minneapolis, MN 55422 Phone: 612-775-2455 | |
John Hunn, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 218-393-6255 | |
Laken Frericks, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 651 Nicollet Mall Ste 275, Minneapolis, MN 55402 Phone: 612-331-5757 Fax: 763-260-7653 | |
Kayleen Lahoud, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7550 34th Ave S, Minneapolis, MN 55450 Phone: 612-727-1167 | |
Melissa Tooman Herron, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-818-7081 | |
Megan Elizabeth Pariseau, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-873-4330 |