Joseph Charles Wilson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12183 Issued in MN

Practice address

1630 101St Ave NE Ste 160
Blaine, MN 55449-3403

Phone

(952) 522-8007

NPI assigned

Jun 1, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Wisconsin School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

National Dizzy and Balance Center,LTD.Group PAC ID 7315983954, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• National Dizzy & Balance Center,LTD.

  • Physical Medicine & Rehabilitation Physician
  • Bloomington, MN
  • NPI 1023021938

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Lifespark Medical Group, PA

  dba Lifesprk Health

  • Geriatric Medicine (Family Medicine) Physician
  • St Louis Park, MN
  • NPI 1427551746
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1245806199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 FRANCE AVE S",
            "address_2": "STE 300",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351908",
            "telephone_number": "952-913-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 101ST AVE NE STE 160",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554493403",
            "telephone_number": "952-522-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JOSEPH",
        "middle_name": "CHARLES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Moran Wheelecor, PSYD, LP
• Lisa Marie Wicklund, LMT
• Allison Lynn Wiedemann, OD
• Benjamin Jerome Williams
• April Kay Williamson, LMFT
• Windels Health Services
• Rebekah Jean Windschitl, MA, LPCC
• Joseph William Winegar, DDS
• Jeffrey Daniel Winter, P.T.
• Mikayla Witter, SOCIAL WORKER

• Physical Therapist in Blaine, MN
• Providers in Blaine, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.