Children's Therapy Center, Inc | |
2795 Pilot Knob Rd Ste 100, Eagan, MN 55121-1930 | |
(651) 994-9644 | |
Not Available |
Full Name | Children's Therapy Center, Inc |
---|---|
Type | Facility |
Speciality | Speech-language Pathologist |
Location | 2795 Pilot Knob Rd Ste 100, Eagan, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295809366 | NPI | - | NPPES |
105647 | Other | MN | HEALTHPARTNERS |
7610098 | Other | MN | AETNA |
960S0CH | Other | MN | BLUE CROSS OCCUPATIONAL T |
962S7CH | Other | MN | BLUE CROSS SPEECH THERAPY |
965S5CH | Other | MN | BLUE CROSS PHYSICAL THERA |
521091043137 | Other | MN | PREFERRED ONE |
043755700 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Provider Name | Rachel M Tressel |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578607586 PECOS PAC ID: 8820049695 Enrollment ID: I20050209000476 |
Provider Name | Jo Tierney |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891839809 PECOS PAC ID: 2860793270 Enrollment ID: I20151208003321 |
Provider Name | Elizabeth Sarah Guentzel |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1508095878 PECOS PAC ID: 2365743515 Enrollment ID: I20151214001277 |
Provider Name | Lori Mccoy |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881654234 PECOS PAC ID: 2769783844 Enrollment ID: I20151214002769 |
Provider Name | Claudia Christensen-major |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1073653184 PECOS PAC ID: 1456653682 Enrollment ID: I20160105002841 |
Provider Name | Janet Johnson |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1376683474 PECOS PAC ID: 8729380407 Enrollment ID: I20160112003059 |
Provider Name | Christopher Blake |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1831238591 PECOS PAC ID: 1456653153 Enrollment ID: I20160113000433 |
Provider Name | Jennifer Flesche |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1619017795 PECOS PAC ID: 9739481359 Enrollment ID: I20160113001071 |
Provider Name | Linda Lacher-goddard |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1861532848 PECOS PAC ID: 2567764194 Enrollment ID: I20160113001409 |
Provider Name | Brian Mcdonell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881735538 PECOS PAC ID: 4587966130 Enrollment ID: I20160113002066 |
Provider Name | Maureen Donohue |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1497025852 PECOS PAC ID: 0840593471 Enrollment ID: I20160114001717 |
Provider Name | Deborah Ruskell |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1679616734 PECOS PAC ID: 7517260011 Enrollment ID: I20160115001273 |
Provider Name | Dawn Levesque |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1790826428 PECOS PAC ID: 0840593257 Enrollment ID: I20160119001564 |
Provider Name | Laura Lewis |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1659758506 PECOS PAC ID: 2668775883 Enrollment ID: I20160121002731 |
Provider Name | Kelsey L Michelson |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1487909073 PECOS PAC ID: 1557666112 Enrollment ID: I20160219001885 |
Provider Name | Katherine Sebastian |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1902239825 PECOS PAC ID: 8921398959 Enrollment ID: I20160603001279 |
Provider Name | Stefanie Clarkin |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1992169619 PECOS PAC ID: 7517258262 Enrollment ID: I20160628000360 |
Provider Name | Breana Witte |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1184039224 PECOS PAC ID: 7618256017 Enrollment ID: I20161107001968 |
Provider Name | Megan Eddy |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720530389 PECOS PAC ID: 6305125972 Enrollment ID: I20161123000010 |
Provider Name | Korie Jackson |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1265939326 PECOS PAC ID: 6800151077 Enrollment ID: I20180518000493 |
Provider Name | Jadee Hentges |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1598255333 PECOS PAC ID: 3577812205 Enrollment ID: I20180814001251 |
Provider Name | Elizabeth Ann Jeska |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013409879 PECOS PAC ID: 7810220407 Enrollment ID: I20190613002281 |
Provider Name | Kaila Prestrud |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1700444973 PECOS PAC ID: 5496080467 Enrollment ID: I20190712001474 |
Provider Name | Elizabeth Sarah Johnson |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1568962124 PECOS PAC ID: 8820323652 Enrollment ID: I20190716001232 |
Provider Name | Emily Johnson |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689215055 PECOS PAC ID: 9830521467 Enrollment ID: I20191119002850 |
Provider Name | Jillian Marie Napp |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336795418 PECOS PAC ID: 5496173684 Enrollment ID: I20200921002035 |
Provider Name | Dana Swanson |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1235655184 PECOS PAC ID: 6103234794 Enrollment ID: I20210420002232 |
Provider Name | Lauren Dyke |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558947572 PECOS PAC ID: 8729497318 Enrollment ID: I20210512000407 |
Provider Name | Rebecca Dahl |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1306511522 PECOS PAC ID: 8527463074 Enrollment ID: I20210820001105 |
Provider Name | Chelsea L Campagna |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1821594110 PECOS PAC ID: 3072911643 Enrollment ID: I20211012002365 |
Provider Name | Tori King |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619647666 PECOS PAC ID: 8729476700 Enrollment ID: I20211025000395 |
Provider Name | Jaclyn Friese-peterson |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1790455541 PECOS PAC ID: 8123417441 Enrollment ID: I20211108001690 |
Provider Name | Morgan Minnick |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1437807708 PECOS PAC ID: 8022403468 Enrollment ID: I20220321002485 |
Provider Name | Amy M Elskamp |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1912066564 PECOS PAC ID: 6507252756 Enrollment ID: I20220415000647 |
Provider Name | Kelly Eckert |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982304945 PECOS PAC ID: 7315311990 Enrollment ID: I20230322000985 |
Provider Name | Susan Fuller |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1700660164 PECOS PAC ID: 7012219736 Enrollment ID: I20230906000422 |
Provider Name | Brianna Carpenter |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1740046879 PECOS PAC ID: 8123464237 Enrollment ID: I20240312001613 |
Provider Name | Marisa Thomford |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205686532 PECOS PAC ID: 3072952985 Enrollment ID: I20240411002085 |
Provider Name | Alexia Wilson |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730934621 PECOS PAC ID: 7214377415 Enrollment ID: I20240506001088 |
Mailing Address | Practice Location Address |
---|---|
Children's Therapy Center, Inc 4058 Deerwood Trl, Eagan, MN 55122-1889 Ph: (651) 994-9644 | Children's Therapy Center, Inc 2795 Pilot Knob Rd Ste 100, Eagan, MN 55121-1930 Ph: (651) 994-9644 |
Shirin Razavian, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2030 Rahn Way, Eagan, MN 55122 Phone: 651-529-1960 | |
Claudia Christensen-major, MACCCSLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2795 Pilot Knob Rd, Suite 100, Eagan, MN 55121 Phone: 651-994-9644 Fax: 651-994-8962 | |
Kelly Carlson, MACCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2795 Pilot Knob Rd, Suite 100, Eagan, MN 55121 Phone: 651-994-9644 Fax: 651-994-8962 | |
Jennifer Bailey, MACCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2795 Pilot Knob Rd, Suite #100, Eagan, MN 55121 Phone: 651-994-9644 Fax: 651-994-8962 | |
Katlyn Elizabeth Dahlstrom, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3305 Central Park Village Dr Ste 130, Eagan, MN 55121 Phone: 651-406-8868 | |
Amanda Enstrom, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3464 Washington Dr, Suite 110, Eagan, MN 55122 Phone: 952-460-4278 | |
Kelsey Falligant, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2795 Pilot Knob Rd Ste 100, Eagan, MN 55121 Phone: 651-994-9644 |