MALLORIE MARIE VAN WINKLE (NPI# 1316494891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316494891 |
| Entity Type | Individual |
| Full Name | MALLORIE MARIE VAN WINKLE |
| Other Name | MALLORIE MARIE KING |
| Credential | DPT |
| Practice Address |
400 East Third Street Essentia Health Duluth Clinic Duluth MN 55805-1951 |
| Mailing Address |
530 East Second Street Essentia Health Polinsky Medical Rehabilitation Center Duluth MN 55805-1913 |
| Practice Telephone | 2187865360 |
| Mailing Telephone | 2187865360 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-11-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-1951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518944164 | Susan E. Romanik | Family Medicine | 400 East Third Street, Duluth, MN 55805 | 2005-12-26 |
| 1902366396 | William Carson Markes | Physician Assistant | 400 East Third Street, Duluth, MN 55805-1951 | 2019-03-21 |
| 1922517093 | Meghan Eileen Rochefort | Nurse Practitioner | 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2017-09-21 |
| 1982140299 | Erin Jane Van Hon | Dietitian, Registered | 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2017-01-10 |
| 1770035933 | Jessica Ann Mcdonnell | Nurse Anesthetist, Certified Registered | 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2016-11-03 |
| 1760932487 | Jacob Ryan Swette | Acupuncturist | 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2016-10-05 |
| 1194272781 | Rebecca Leigh Wachsmuth | Nurse Practitioner | 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2016-09-01 |
| 1710343165 | Kelsey Ann Sellnow | Physician Assistant | 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2016-01-14 |
| 1205241478 | Natalia De Albuquerque Rocha | Internal Medicine | 400 East Third Street, Duluth, MN 55805-1951 | 2014-06-26 |
| 1891107397 | Lee Stokes | Anesthesiology | 400 East Third Street, Duluth, MN 55805-1951 | 2014-06-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852180 | Peace of Mind of Duluth, Inc. | Community/Behavioral Health | 1000 East 1st Street, Suite 100, Duluth, MN 55805 | 2017-10-19 |
| 1891213419 | Arielle Skalisky | Registered Nurse | 400 E. 3rd Street, Duluth, MN 55805 | 2017-09-04 |
| 1457886400 | Chefrdn, LLC | Dietitian, Registered | 1101 East 4th Street, Duluth, MN 55805 | 2017-04-27 |
| 1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
| 1598196313 | Kelsey Lindsay Putvin | Audiologist | 400 E 3rd St., Duluth, MN 55805 | 2013-12-04 |
| 1639462997 | James F Conniff | Family Medicine | Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 | 2011-05-19 |
| 1215237433 | Bobby Jo Mineheine | Speech-Language Pathologist | 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 | 2010-10-22 |
| 1891004248 | Robin Michelle Warfel | Occupational Therapist | 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 | 2010-10-04 |
| 1154638716 | Jennifer Chen | Pharmacist | 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 | 2010-09-02 |
| 1376858084 | Jennifer Lynn Howard | Pharmacist | 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 | 2010-08-18 |
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| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131443 | Rv Patel, LLC. | Physical Therapist | 3293 Cambridge Ave, Duluth, GA 30096-9914 | 2020-10-11 |
| 1154932200 | Kwon Physical Therapy | Physical Therapist | 3473 Satellite Blvd # 108n, Duluth, GA 30096-8690 | 2020-08-12 |
| 1639795321 | Hailey Corradi | Physical Therapist | 526 N 12th Ave E, Duluth, MN 55805-2231 | 2020-06-18 |
| 1982264016 | Jennifer M Wraalstad | Physical Therapist | 4212 Grand Avenue, Duluth, MN 55807-2737 | 2019-06-20 |
| 1588134399 | Danielle Mcgee | Physical Therapist | 3870 Pleasant Hill Rd Ste 1, Duluth, GA 30096-4807 | 2018-12-05 |
| 1992201081 | Sarah M Jones | Physical Therapist | 1440 91st Ave W, Duluth, MN 55808-1530 | 2018-04-05 |
| 1053829390 | Kelsey Elizabeth Swales | Physical Therapist | Essentia Health Polinsky Medical Rehabilitation Center, 530 East Second Street, Duluth, MN 55805-1913 | 2018-01-22 |
| 1972011476 | James Ro | Physical Therapist | 3655 Howell Ferry Rd Ste 300, Duluth, GA 30096-3186 | 2018-01-18 |
| 1679098081 | Michael Thomas Mcknight | Physical Therapist | 3680 Pleasant Hill Rd Ste 101, Duluth, GA 30096-3268 | 2017-08-07 |
| 1801317425 | Victor Chu | Physical Therapist | 3455 Peachtree Industrial Blvd Ste 825, Duluth, GA 30096-6500 | 2017-07-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.