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Patricia Montividas

Physical Therapy Assistant in Lino Lakes, MN. Individual provider (NPI-1).

NPI number1184091027
StatusActive
Last updated in NPPESAug 26, 2015

Details

NPI
1184091027
Entity type
Individual (NPI-1)
Name
Patricia Montividas
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 26, 2015
Last updated
Aug 26, 2015

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantA216MNYes

Practice location

6566 Lacasse Dr
Lino Lakes, MN 55038-7721

Phone 651-324-6256

Mailing address

6566 Lacasse Dr
Lino Lakes, MN 55038-7721

Phone 651-324-6256

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physical Therapy Assistant providers in Lino Lakes, MN

All 5 Physical Therapy Assistant providers in Lino Lakes · All 181 providers in Lino Lakes

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