Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lauren Noel Licatino, PT

Individual provider Physical Therapist · NPI 1043572415

Lauren Noel Licatino, PT is a Physical Therapist in Private Practice in Rochester, Minnesota. Qualified in 2012, 14 years ago. Practices with Mayo Clinic, a 4,796-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota and Texas.

Years since qualifying
14
Licensed in
MN, TX
In the registry since
2012
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3708 Broadway Ave N Ste 110
Rochester, MN 55906-4159
Phone: (507) 322-3460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 200 1st St Sw, Rochester, MN 55905 — (507) 284-5016
  • 5302 Janelle Dr, Killeen, TX 76549-5666 — (254) 699-3933

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 12994 (MN)
Physical Therapist Taxonomy 225100000X · Licence 3111995 (TX)

Record details

NPI number1043572415
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 12, 2012
Last updated in NPPESOctober 3, 2023
Certification dateOctober 3, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Mayo Clinic — 4796 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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