Viverant, LLC
Viverant, LLC is a healthcare organization registered as Physical Therapist in Lake Elmo, MN, holding Type 2 (organization) NPI 1013439868 since 2017. The authorized official on file is Michael Lanham, Director.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1013439868 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Viverant, LLC |
| Parent organization | Viverant Pt LLC |
| Practice address | 9242 HUDSON BLVD N STE 400, Lake Elmo, MN, 55042 |
| Phone | 9528354512 |
| Enumeration date | 2017-07-13 |
| Last updated in NPPES | 2020-06-01 |
Authorized official
| Name | Michael Lanham |
|---|---|
| Title | Director |
| Phone | 9528354512 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 133V00000X | Registered Dietitian | Secondary | — | — |
| 225100000X | Physical Therapist | Primary | — | — |
Copy-ready billing details
Provider: Viverant, LLC NPI: 1013439868 Taxonomy: 225100000X (Physical Therapist) Address: 9242 HUDSON BLVD N STE 400, Lake Elmo, MN, 55042
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1891955647 | Kirstyn Fulton | Individual | Physical Therapist | Lake Elmo, MN |
| 1508356361 | Jesse Heaton | Individual | Physical Therapist | Lake Elmo, MN |
| 1316558547 | Sean Huscroft | Individual | Physical Therapist | Lake Elmo, MN |
| 1518556380 | Ellen Thornburg | Individual | Physical Therapist | Lake Elmo, MN |
| 1396327581 | Mark Loscheider | Individual | Physical Therapist | Lake Elmo, MN |
| 1578440889 | Mykaela Korn | Individual | Physical Therapist | Lake Elmo, MN |
Verify this record
Cross-check NPI 1013439868 against the authoritative CMS record: view Viverant, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Viverant, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-06-01.