HUNTER LAKE PT, DPT
NPI 1255172482
Physical Therapist in East Grand Forks, MN
About Hunter Lake Pt, Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HUNTER LAKE PT, DPT (NPI 1255172482) is an individual physical therapist in East Grand Forks, Minnesota, licensed in North Dakota (2703) and active in the NPI registry since June 2024. He is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
- 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.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Hunter Lake Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Hunter Lake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Twin Valley, MN 56584
- Reassigned Medicare billing, Minnesota and North Dakota enrollments
- Also billed through NPI 1952323974 (North Dakota)
- 376 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56721 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EAST GRAND FORKS, MN 56721
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 Hunter Lake's NPI number?
The NPI number for Hunter Lake is 1255172482. It was assigned to this individual provider in the NPPES registry on June 3, 2024.
Where is Hunter Lake located?
Hunter Lake practices at 625 Demers Ave, East Grand Forks, MN 56721. The listed phone number is (218) 773-5858.
What is Hunter Lake's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Hunter Lake enrolled in Medicare?
Yes. Hunter Lake is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Hunter Lake's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hunter Lake reassigns Medicare benefits to Sanford Medical Center Fargo (Twin Valley, 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 Hunter Lake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hunter Lake accept?
Health plans from Blue Cross Blue Shield of North Dakota, Sanford Health Plan and Security Health Plan list Hunter Lake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Hunter Lake was last updated on July 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.