STEPHANIE JO HATLESTAD (P.T.) – Physical Therapist, NPI 1629124540

STEPHANIE JO HATLESTAD (P.T.) is a healthcare provider. based in Edina, Minnesota. specializing in Physical Therapist. They hold the professional credentials P.T.. They hold a License No. 2837 (MN). The NPI Number for STEPHANIE JO HATLESTAD (P.T.) is 1629124540

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE JO HATLESTAD (P.T.)
NPI
1629124540
Phone
(952) 851-8200
Address
3601 MINNESOTA DR
Enumeration Date
25 January 2007
Last Update Date
31 July 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9528518200
Graduation Year
1985 (41 years ago)
PAC ID
1658386685
Group Practice PAC ID
4385966910
Professional Enrollment ID
I20060213000719
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for STEPHANIE JO HATLESTAD (P.T.)

  • 3601, Minnesota Drive, Centennial Lakes, Bloomington, Hennepin County, Minnesota, 55435, United States

    EDINA, MN 554355281

    Phone: (952) 851-8200

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55435)

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Provider's Procedures

STEPHANIE JO HATLESTAD (P.T.) performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMN97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes116388

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385966910View full group profile

Reviews

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Frequently asked questions

What federal number belongs to STEPHANIE JO HATLESTAD (P.T.)?
The federal identifier for STEPHANIE JO HATLESTAD (P.T.) is NPI 1629124540.
Does this profile mean STEPHANIE JO HATLESTAD (P.T.) is currently active?
Yes — STEPHANIE JO HATLESTAD (P.T.) appears active in the national provider directory.
What field does STEPHANIE JO HATLESTAD (P.T.) work in?
You can think of STEPHANIE JO HATLESTAD (P.T.) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for STEPHANIE JO HATLESTAD (P.T.)?
The page summarizes Edina, Minnesota for STEPHANIE JO HATLESTAD (P.T.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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