NPPES file of Aug 9, 2026

Brett David Lackie, DPT

Physical Therapist · Roseville, MN

Brett David Lackie, DPT is a physical therapist with a practice address in Roseville, Minnesota, and NPI 1457812307, issued on Mar 25, 2019. Check the license (Minnesota 11403, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1457812307
Name
Brett David Lackie
Credential
DPT
Primary taxonomy
Physical Therapist 225100000X
License number
11403 MN
Self-reported in NPPES; status is on the state search
Practice location
3050 Centre Pointe Dr, Roseville, MN 55113
Phone
(952) 831-8742
Enumerated
Mar 25, 2019
Record last updated
Jan 27, 2026
Medicare enrollment
Enrolled (PECOS I20190415001241); accepts Medicare assignment
Medical or professional school
University Of Minnesota Medical School, 2018
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 3050 Centre Pointe Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Pamela Becker, PTPhysical Therapist1457768269
  2. Grady Glynn, DPTPhysical Therapist1093110413
  3. Brian Nelson, MDOrthopaedic Surgery Physician1750318697
  4. Erin Palen, DPTPhysical Therapist1659615524
  5. Susan Richner, M.D.Specialist1265476444
  6. Joy Tauer, PTAPhysical Therapy Assistant1497337737

Verify Brett David Lackie in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
    Search for license 11403
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Minnesota license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

Bills Medicare through 2 group practices

  1. Park Nicollet ClinicMaple Grove, MN
  2. Tria Orthopaedic Center LLCRoseville, MN

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Brett David Lackie among 5,500 physical therapist records in Minnesota

Brett David Lackie, DPT is one of 5,500 physical therapist records with a practice address in Minnesota. 32% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 69% of them.

  • NPI issued2019 · 69% of these records are older, 27% newer
  • In a Medicare fileYes · 32% of these records are
  • In the CMS Doctors and Clinicians fileYes · 33% of these records are
  • Graduated2018 · median 2016 among the 1,841 with a school on file
  • Record last updated2026 · 63% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

50 physical therapist records list a practice address in Roseville

They are 50 of the 1,288 NPPES records with a practice address in Roseville, and 5,500 physical therapist records in Minnesota.

The 8 physical therapist records with the nearest ZIP codes

  1. Amy Andersen, MPTRoseville, MN 551131063591840
  2. Kristine Balsimo, MPTRoseville, MN 551131467569194
  3. Nicholas Biondich, PTRoseville, MN 551131104862671
  4. Craig Cowell, P.T.Roseville, MN 551131316946528
  5. John Farr, PTRoseville, MN 551131891754875
  6. Rebecca Gilbertson, PTRoseville, MN 551131073734976
  7. Kristine Gjerde, PTRoseville, MN 551131154394443
  8. Frederick Hjelm, P.T.Roseville, MN 551131083707046

Common questions

What is Brett David Lackie, DPT's NPI number?

Brett David Lackie, DPT's National Provider Identifier (NPI) is 1457812307, issued on Mar 25, 2019. An NPI identifies a provider in billing; it is not a license.

Where is Brett David Lackie, DPT located?

The NPPES record lists a practice address at 3050 Centre Pointe Dr, Roseville, MN, 55113. Phone: (952) 831-8742. Providers update this record themselves, so call before visiting.

How can I verify Brett David Lackie, DPT's license?

NPPES lists Minnesota license number 11403, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.