JOEL ALLEN BENGTSON (NPI# 1932178563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932178563 |
| Entity Type | Individual |
| Full Name | JOEL ALLEN BENGTSON |
| Credential | PT |
| Practice Address |
1661 Saint Anthony Ave Saint Paul MN 55104-3733 |
| Mailing Address |
710 Commerce Dr Ste 200 Woodbury MN 55125-4925 |
| Practice Telephone | 6518425335 |
| Practice Fax Number | 6517303989 |
| Mailing Telephone | 6519685042 |
| Mailing Fax Number | 6519685904 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2015-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
5490 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | RAILROAD MEDICARE | P00012115 | 01 |
| Street Address |
1661 SAINT ANTHONY AVE |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-3733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366427601 | John L Kipp | Preventive Medicine | 1661 Saint Anthony Ave, Saint Paul, MN 55104-3733 | 2005-12-09 |
| 1396303947 | Weston Obrycki | Physical Therapist | 1661 Saint Anthony Ave, Saint Paul, MN 55104-3733 | 2019-05-30 |
| 1841717188 | Michelle Ecklund | Physical Therapist | 1661 Saint Anthony Ave, Saint Paul, MN 55104-3733 | 2017-08-28 |
| 1306362140 | Bethany Rae Kadrlik | Physical Therapist | 1661 Saint Anthony Ave, Saint Paul, MN 55104-3733 | 2017-08-14 |
| 1083009674 | Lara K Sailer | Physical Therapist | 1661 Saint Anthony Ave, Saint Paul, MN 55104 | 2015-04-01 |
| 1710328729 | Taylor Leigh Ellingson | Physical Therapist | 1661 Saint Anthony Ave, Saint Paul, MN 55104-3733 | 2013-07-08 |
| 1942439724 | Kyle L Hall | Physical Therapist | 1661 Saint Anthony Ave, Saint Paul, MN 55104-7632 | 2009-07-14 |
| 1801024922 | Theodore L Aquino | Preventive Medicine | 1661 Saint Anthony Ave, Saint Paul, MN 55104-3733 | 2009-06-26 |
| 1053568634 | Heide Sue Slinde Baker | Physical Therapist | 1661 Saint Anthony Ave, Saint Paul, MN 55104-3733 | 2008-08-26 |
| 1649427444 | Wendy J Gohr | Physical Therapy Assistant | 1661 Saint Anthony Ave, Saint Paul, MN 55104-3733 | 2008-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437603016 | Mark Deschepper | Physical Therapist | 1600 University Ave W # 10, Saint Paul, MN 55104-3898 | 2016-08-11 |
| 1851584122 | Joseph Paul Steingraeber | Physical Therapist | 280 Smith Ave N Bldg Ste 120, Saint Paul, MN 55102 | 2007-08-21 |
| 1396878427 | Jeannine Voshell | Physical Therapist | 933 Lombard Ave, Saint Paul, MN 55105-3254 | 2007-03-14 |
| 1679542682 | Dawn Marie Altstatt | Physical Therapist | 400 Wabasha St N Ste 260, Saint Paul, MN 55102-1147 | 2006-03-14 |
| 1902251325 | Jennifer Lonetti | Physical Therapist | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2016-05-04 |
| 1417344110 | Laurel Urquhart Welch | Physical Therapist | 1021 Bandana Blvd E, Suite 123, Saint Paul, MN 55108-5113 | 2015-04-20 |
| 1699110593 | Megan Alicia Alger | Physical Therapist | 280 Smith Ave N Ste 120, Saint Paul, MN 55102-2579 | 2013-05-06 |
| 1942439724 | Kyle L Hall | Physical Therapist | 1661 Saint Anthony Ave, Saint Paul, MN 55104-7632 | 2009-07-14 |
| 1053568634 | Heide Sue Slinde Baker | Physical Therapist | 1661 Saint Anthony Ave, Saint Paul, MN 55104-3733 | 2008-08-26 |
| 1346405719 | Aleksandra Siemers | Physical Therapist | 1661 Saint Anthony Ave, Saint Paul, MN 55104-3733 | 2008-07-24 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
Please comment or provide details below to improve the information on JOEL ALLEN BENGTSON.
| 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.