Active NPI
Evan Wohlert
- Physical Therapist
- Bemidji, MN
National Provider Identifier
1003659657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13491
- Practice address
- 3835 Supreme CT NW Ste 2
Bemidji, MN 56601-4485 - Phone
- (218) 444-8280
- NPI assigned
- Jun 13, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13491 | MN | Primary |
Addresses
Primary practice location
3835 Supreme CT NW Ste 2
Bemidji, MN 56601-4485
Mailing address
3835 Supreme CT NW Ste 2
Bemidji, MN 56601-4485
Phone (218) 441-5232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13491 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choice Therapy, P.a. | Physical Therapist | Current | Accepting new patients |
Locations
118 Central St W
Bagley, MN 56621
Phone (218) 694-3030
3835 Supreme Ct NW
Ste 2
Bemidji, MN 56601
Phone (218) 441-5232
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1003659657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3835 SUPREME CT NW STE 2",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566014485",
"telephone_number": "218-441-5232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3835 SUPREME CT NW STE 2",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566014485",
"telephone_number": "218-444-8280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOHLERT",
"first_name": "EVAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-13",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "13491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bemidji, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.