HUNTER LAKE PT, DPT
NPI 1255172482
Physical Therapist in East Grand Forks, MN

Active since June 03, 2024Accepts Medicare Assignment
625 DEMERS AVE, EAST GRAND FORKS, MN 56721(218) 773-5858 Get Directions Write a Review

NPPES record last updated: July 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 13, 2024, Jun 3, 2024 (2 updates tracked since 2024).

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

NPI1255172482
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameHUNTER LAKECredential: PT, DPT
Location Address625 DEMERS AVEEast Grand Forks, MN 56721-1833
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 3, 2024
Last NPPES UpdateJuly 13, 20242 updates tracked since enumeration
NPPES CertifiedJuly 13, 2024
✔ NPI 1255172482 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 ND · 2703
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.
625 DEMERS AVE, East Grand Forks, MN 56721

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.

PECOS PAC ID7315484961
PECOS Enrollment IDI20240801000630, I20240809000092

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.

Rural Health
501 2ND STREET NW
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.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
224 services16 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
18 services16 patients

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.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Physical Therapist
625 DEMERS AVE
EAST GRAND FORKS, MN 56721
Physical Therapist
625 DEMERS AVE
EAST GRAND FORKS, MN 56721
Physical Therapist
625 DEMERS AVE
EAST GRAND FORKS, MN 56721
Physical Therapist
625 DEMERS AVE
EAST GRAND FORKS, MN 56721
Nurse Practitioner (Occupational Health)
625 DEMERS AVE
EAST GRAND FORKS, MN 56721
Occupational Therapist
625 DEMERS AVE
EAST GRAND FORKS, MN 56721
Nurse Practitioner (Family)
625 DEMERS AVE
EAST GRAND FORKS, MN 56721
Physical Therapist
625 DEMERS AVE
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.