PAMELA S LUNDEQUAM PT
NPI 1063598605
Physical Therapist in St Louis Park, MN

Active since October 27, 2006
6465 WAYZATA BLVD, STE 315, ST LOUIS PARK, MN 55426(952) 993-7169(952) 993-0300 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pamela S Lundequam Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAMELA S LUNDEQUAM PT (NPI 1063598605) is an individual physical therapist in St Louis Park, Minnesota, licensed in Minnesota (7777) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1063598605
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NamePAMELA S LUNDEQUAMCredential: PT
Location Address6465 WAYZATA BLVD, STE 315St Louis Park, MN 55426-1728
Mailing Address6465 Wayzata Blvd, Ste 315St Louis Park, MN 55426-1728 · (952) 993-7169 · Fax (952) 993-0300
Fax(952) 993-0300
Sole ProprietorNo
Enumeration DateOctober 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063598605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MN · 7777
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
6465 WAYZATA BLVD, St Louis Park, MN 55426

Other Names 1

Former Name (1)Pamela S Cohodes Lundequam

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pamela S Lundequam Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Pamela Lundequam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Speech-Language Pathologist
1891 STATION PKWY NW
Andover, MN 55304
  • Reassigned Medicare billing, Minnesota enrollment
  • 112 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
6465 WAYZATA BLVD, STE 315
ST LOUIS PARK, MN 55426
Physical Therapist
6465 WAYZATA BLVD, STE 315
ST LOUIS PARK, MN 55426
Physician Assistant (Surgical)
6465 WAYZATA BLVD, STE 315
ST LOUIS PARK, MN 55426
6465 WAYZATA BLVD, SUITE 900
ST LOUIS PARK, MN 55426
Dietitian, Registered
6465 WAYZATA BLVD, STE 210
ST LOUIS PARK, MN 55426
Occupational Therapist
6465 WAYZATA BLVD, STE 315
ST LOUIS PARK, MN 55426
Occupational Therapist
6465 WAYZATA BLVD, STE 315
ST LOUIS PARK, MN 55426
Occupational Therapist
6465 WAYZATA BLVD, STE 315
ST LOUIS PARK, MN 55426

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pamela Lundequam's NPI number?

The NPI number for Pamela Lundequam is 1063598605. It was assigned to this individual provider in the NPPES registry on October 27, 2006. The provider is also known as Pamela S Cohodes Lundequam.

Where is Pamela Lundequam located?

Pamela Lundequam practices at 6465 Wayzata Blvd Ste 315, St Louis Park, MN 55426. The listed phone number is (952) 993-7169.

What is Pamela Lundequam's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Pamela Lundequam enrolled in Medicare?

Yes. Pamela Lundequam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pamela Lundequam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pamela Lundequam reassigns Medicare benefits to Family Speech & Therapy Services, LLC (Andover, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pamela Lundequam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pamela Lundequam was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.