Brecca Wahlund, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2390 Issued in ND

Practice address

3161 43Rd St S
Fargo, ND 58104-8791

Phone

(701) 893-2639

Fax

(701) 893-2638

NPI assigned

Sep 10, 2019

Last updated

Apr 6, 2023By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Body Works Physical Therapy, LTD.

  dba Bliss Massage Therapy

  • Massage Therapist
  • Fargo, ND
  • NPI 1689085177
  NPD

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1255980512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 43RD ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048791",
            "telephone_number": "701-893-2639",
            "fax_number": "701-893-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 43RD ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048791",
            "telephone_number": "701-893-2639",
            "fax_number": "701-893-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHLUND",
        "first_name": "BRECCA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "2390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Robin Wahlen
• Rachael Ann Wahlen, RN
• Haley Larae Wahler, OTR/L
• Isaac Wahlin
• Samantha Anne Wahlstrom, APRN, CRNA
• Wal-Mart Stores, Inc. (Vision Center 30-1581)
• Wal-Mart Stores, Inc. (Vision Center 30-4352)
• Paula Jane Wald, RN
• Charlyne K Walen, MED LAC
• Jenelle Walerius, LMSW

• Physical Therapist in Fargo, ND
• Providers in Fargo, ND by specialty
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.