JOEL BERQUAM (NPI# 1841221074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841221074 |
| Entity Type | Individual |
| Full Name | JOEL BERQUAM |
| Credential | PT |
| Practice Address |
477 Yancey St Auburn AL 36832-8764 |
| Practice Telephone | 9196194015 |
| Mailing Telephone | 9196194015 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2015-10-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
5094 | AL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
477 YANCEY ST |
| City | AUBURN |
| State | AL |
| Zip Code | 36832-8764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700416203 | Taylor Lane Kellogg | Student in an Organized Health Care Education/Training Program | 2038 Lee Road 137 Lot 310, Auburn, AL 36832 | 2020-01-23 |
| 1093270886 | Jose Antonio Prieto | Specialist/Technologist | 2005 Downs Way, Auburn, AL 36832 | 2019-02-05 |
| 1659846087 | Jason Gilleland | Dietitian, Registered | 258 Tallyho Dr, Auburn, AL 36832 | 2018-10-12 |
| 1972059814 | Southeast Vision LLC | Eyewear Supplier (Equipment, not the service) | 106 West Veterans Drive, Auburn, AL 36832 | 2016-08-31 |
| 1417308156 | Robert Brooks | Specialist/Technologist | 623 Deer Run Road, Auburn, AL 36832 | 2016-06-23 |
| 1144680612 | Vincent N Jones | Pharmacist | 1810 Shug Jordan Pkwy, Auburn, AL 36832 | 2016-02-26 |
| 1912378563 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1810 Shug Jordan Parkway, Auburn, AL 36832 | 2015-10-08 |
| 1629384847 | Christie Jones | Physical Therapist | 560 Devall Dr, Auburn, AL 36832 | 2010-08-25 |
| 1336215680 | Auburn Spine & Neurosurgery Center, PC | Neurological Surgery | 560 Devall Drive, Suite 301, Auburn, AL 36832 | 2006-11-28 |
| 1902816176 | Catherine Elizabeth Douier-donald | Dentist | 1452 Opelika Rd, Ste E, Auburn, AL 36832 | 2006-08-09 |
| Find all providers in zip 36832 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932747797 | Marissa Rescott | Physical Therapist | 37 Melrose Rd, Auburn, NY 13021-9203 | 2019-12-11 |
| 1376963884 | Amelia Ratliff | Physical Therapist | 1550 E University Dr, Auburn, AL 36830-6352 | 2014-04-23 |
| 1780779157 | Robert Gary Suggett | Physical Therapist | 1121 Maidu Dr, Auburn, CA 95603-5808 | 2006-10-03 |
| 1528050549 | Janet L Trapani | Physical Therapist | 197 State St, Suite 200, Auburn, NY 13021-1866 | 2005-08-16 |
| 1649509399 | Lynne L Espino | Physical Therapist | 319a Southbridge St, Auburn, MA 01501-2598 | 2009-12-09 |
| 1568616126 | Paul D Creedon | Physical Therapist | 319a Southbridge St, Auburn, MA 01501-2598 | 2008-11-10 |
| 1124164496 | Thomas A Zirilli | Physical Therapist | 40 West Lake Ave, Auburn, NY 13021 | 2007-01-30 |
| 1851437040 | Brette Rothschild | Physical Therapist | 489 Washington St, Suite 200, Auburn, MA 01501-5709 | 2007-01-29 |
| 1164481552 | Theodore Craig Moore | Physical Therapist | 250 Elm Ave, Auburn, CA 95603-4226 | 2006-03-23 |
| 1043298086 | Richard C. Wahlgren | Physical Therapist | 122 3rd St Ne, Auburn, WA 98002-4013 | 2006-01-09 |
| Find all providers in AUBURN | ||||
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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.