Lake Superior Physical Therapy Inc
NPI 1164429163ActiveOrganization· Physical Therapist· Duluth, MN
Physical Therapist in Duluth, Minnesota, registered in NPPES in July 2005. The authorized official on file is Terri L. Wallen, Business Manager.
Overview
| NPI | 1164429163 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 5, 2005 |
| Last updated in NPPES | Feb 25, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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