Pokegama Physical Therapy, LLC
Physical Therapist in Grand Rapids, MN. Organization (NPI-2).
NPI number1487980488
StatusActive
Last updated in NPPESOct 26, 2009
Details
- NPI
- 1487980488
- Entity type
- Organization (NPI-2)
- Legal business name
- Pokegama Physical Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Oct 26, 2009
- Last updated
- Oct 26, 2009
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 7528 | MN | Yes |
Practice location
19259 S Gama Beach RdGrand Rapids, MN 55744-4967
Phone 218-259-9801
Mailing address
Po Box 702Grand Rapids, MN 55744-0702
Phone 218-259-9801
Authorized official
Kate E Braun
Owner/Physical Therapist
2182599801
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 Therapist providers in Grand Rapids, MN
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All 23 Physical Therapist providers in Grand Rapids · All 681 providers in Grand Rapids
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