MICHELLE M WALL (NPI# 1366858748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366858748 |
| Entity Type | Individual |
| Full Name | MICHELLE M WALL |
| Other Name | MICHELLE RABEDEAUX |
| Credential | ATC, PT/DPT |
| Practice Address |
651 Nicollet Mall Ste 275 Minneapolis MN 55402 |
| Mailing Address |
11995 Singletree Ln Ste 120 Eden Prairie MN 55344-5338 |
| Practice Telephone | 6123315757 |
| Practice Fax Number | 7632607653 |
| Mailing Telephone | 9523735141 |
| Mailing Fax Number | 7632607653 |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2019-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 10890 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
074480 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3160 8th St Sw Ste M, Altoona, IA 500091023 | 5159674580 | 5159674899 |
| 2101 Wooddale Dr Ste A, Woodbury, MN 551252933 | 6517389888 | |
| 3335 Blaisdell Ave, Minneapolis, MN 554084429 | 9522225769 | 7632607653 |
| 7355 York Ave S, Edina, MN 554354701 | 9522225769 | 7632607653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619195302 | Michelle Deanna Wall | Physician Assistant | 348 N South St, Mount Airy, NC 27030-3532 | 2007-04-20 |
| 1629626171 | Michelle Kristine Wall | Licensed Vocational Nurse | 8001 S Us Highway 75, Sherman, TX 75090-5707 | 2019-08-28 |
| 1730424623 | Michelle Wall | Occupational Therapist | 296 Hamburg Tpke, Wayne, NJ 07470-2150 | 2012-12-03 |
| 1104081447 | Michelle Anne Wall | Dentist | 255 N Gilbert St, Suite C2, Hemet, CA 92543-4066 | 2008-07-25 |
| 1104002716 | Michelle Dana Wall | Massage Therapist | 4601 Excelsior Blvd, 407, Saint Louis Park, MN 55416-4960 | 2008-01-14 |
| 1639186349 | Michelle Girouard Wall | Internal Medicine | 300 20th Ave N, 7th Floor, Nashville, TN 37203-2131 | 2006-08-02 |
| 1942258330 | Michelle Wall | Physical Therapist | 200 Newport Center Dr, #213, Newport Beach, CA 92660-7501 | 2006-05-05 |
| Street Address |
651 NICOLLET MALL STE 275 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760712087 | Kyle Donald Traynor | Chiropractor | 651 Nicollet Mall Ste 275, Minneapolis, MN 55402-1647 | 2010-01-08 |
| 1003466467 | Laken Frericks | Physical Therapist | 651 Nicollet Mall Ste 275, Minneapolis, MN 55402-1647 | 2019-09-18 |
| 1922525591 | Megan Shanahan | Physical Therapist | 651 Nicollet Mall Ste 275, Minneapolis, MN 55402-1647 | 2017-08-24 |
| 1083015127 | Elliott Caponetti | Physical Therapist | 651 Nicollet Mall Ste 275, Minneapolis, MN 55402-1647 | 2014-09-09 |
| 1235443177 | Oliver Marcyl Ang | Physical Therapist | 651 Nicollet Mall Ste 275, Minneapolis, MN 55402 | 2010-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164040457 | Colby Orthodontics LLC | Dentist | 9th St. and Nicollet Ave. Suite 531, Minneapolis, MN 55402 | 2020-07-13 |
| 1124684725 | Eric James Holthaus | Dentist | 825 Nicollet Ave #1025, Minneapolis, MN 55402 | 2019-05-20 |
| 1194216598 | Sean Templeman | Optometrist | 825 Nicollet Mall Fl 20, Minneapolis, MN 55402 | 2018-05-22 |
| 1124529417 | Danielle Marie Kasprzak | Social Worker | 825 Nicollet Mall Ste 1005, Minneapolis, MN 55402 | 2018-02-22 |
| 1275073181 | Yellow Coriander, Psc | Nurse Practitioner | 60 South 6th Street, Suite 2800, Minneapolis, MN 55402 | 2017-02-27 |
| 1780039263 | Ursula Mcguckin | Dentist | 825 Nicollet Avenue #1025, Minneapolis, MN 55402 | 2016-05-03 |
| 1265891600 | Carl Mothes | Counselor | 825 Nicollet Mall Ste 556, Minneapolis, MN 55402 | 2016-02-13 |
| 1295084309 | Cardiology Prevention, LLC | Clinic/Center | 730 Second Ave South, Suite 295, Baker Center, Minneapolis, MN 55402 | 2012-09-05 |
| 1629389341 | Michael Stephen Bevan | Podiatrist | 825 Nicollet Mall Ste 517, Minneapolis, MN 55402 | 2010-06-28 |
| 1235368226 | Anna Dickens | Nurse Practitioner | 902 2nd Ave S, Ste 400, Minneapolis, MN 55402 | 2009-07-10 |
| Find all providers in zip 55402 | ||||
| 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 |
|---|---|---|---|---|
| 1164057642 | Katelyn Darnell | Physical Therapist | 2600 39th Ave Ne Ste 220, Minneapolis, MN 55421-5052 | 2020-03-05 |
| 1689233843 | Kari Marie Asfahl | Physical Therapist | 800 E 28th St # Mr 12213, Minneapolis, MN 55407-3723 | 2019-06-11 |
| 1003373689 | Minneapolis Health & Wellness Ne, LLC | Physical Therapist | 2125 E Hennepin Ave, Suite 300, Minneapolis, MN 55405 | 2019-03-01 |
| 1669945077 | Rachel Hansen | Physical Therapist | 3500 W 50th St, Minneapolis, MN 55410-2100 | 2019-01-08 |
| 1710455324 | Victoria F Renner | Physical Therapist | 4512, 3700 Foss Rd, Minneapolis, MN 55421 | 2018-11-13 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1285158600 | Matthew David Schroeder | Physical Therapist | 715 S 8th St # Street3, Minneapolis, MN 55404-1210 | 2017-07-27 |
| 1174043624 | Allison M Kleefisch | Physical Therapist | 800 E 28th St Ste 2704, Minneapolis, MN 55407-3723 | 2017-06-26 |
| 1679004535 | Brian Maldonado | Physical Therapist | 1091 16th Ave Se Apt 1, Minneapolis, MN 55414-2411 | 2017-03-22 |
| 1215384136 | Katlin E Slaughter | Physical Therapist | 2220 Riverside Ave Fl 5, Minneapolis, MN 55454 | 2016-05-20 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55402 |
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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.