Roger Lee Burtraw Iii, PT | |
4570 Churchill St Ste 300, Shoreview, MN 55126-2274 | |
(651) 481-1071 | |
(651) 481-0042 |
Full Name | Roger Lee Burtraw Iii |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 11 Years |
Location | 4570 Churchill St Ste 300, Shoreview, 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 |
---|---|---|---|
1588062988 | NPI | - | NPPES |
1588062988 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 9863 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Infinite Health Collaborative Pa | 1052225042 | 761 |
Provider Name | Infinite Health Collaborative Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164474250 PECOS PAC ID: 1052225042 Enrollment ID: O20040209000574 |
Mailing Address | Practice Location Address |
---|---|
Roger Lee Burtraw Iii, PT 4570 Churchill St Ste 300, Shoreview, MN 55126-2274 Ph: (651) 481-1071 | Roger Lee Burtraw Iii, PT 4570 Churchill St Ste 300, Shoreview, MN 55126-2274 Ph: (651) 481-1071 |
Renee Lynn Miller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4180 Lexington Ave N, Shoreview, MN 55126 Phone: 651-241-1455 | |
Carol Gilligan, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 490 Highway 96 W, Suite 300, Shoreview, MN 55126 Phone: 651-451-3016 | |
Karla Schneider, Physical Therapist Medicare: Medicare Enrolled Practice Location: 490 Highway 96 W, Suite 300, Shoreview, MN 55126 Phone: 651-451-3016 | |
Mr. Rodney Shawn Koehn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4180 Lexington Ave N, Shoreview, MN 55126 Phone: 651-241-1455 Fax: 651-241-1456 | |
Caroline Moran, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 404 Highway 96 W Ste C, Shoreview, MN 55126 Phone: 651-275-4706 Fax: 651-765-4108 | |
Theresa Plasencia Physical Therapy, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1030 County Road E W, Suite 240, Shoreview, MN 55126 Phone: 651-493-0626 Fax: 651-493-8463 | |
Kelly Lynne Roberts, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4625 Churchill St, Motioncare Shoreview Medical Center Suite 204, Shoreview, MN 55126 Phone: 651-484-6735 |