Healthcare Provider Details

I. General information

NPI: 1215859244
Provider Name (Legal Business Name): LAUREN M CHAPMAN PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1104 E RIVER ST
MONTICELLO MN
55362-8762
US

IV. Provider business mailing address

11623 ARBOR ST STE 200
OMAHA NE
68144-2991
US

V. Phone/Fax

Practice location:
  • Phone: 763-271-2333
  • Fax:
Mailing address:
  • Phone: 402-334-1919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberA3166
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: