Joan Marlayne Bazella, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7744 Issued in MN

Practice address

480 W 78TH St
Chanhassen, MN 55317-4527

Phone

(952) 906-7880

NPI assigned

Apr 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1285859066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S CEDAR ST",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181837",
            "telephone_number": "952-448-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 W 78TH ST",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174527",
            "telephone_number": "952-906-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZELLA",
        "first_name": "JOAN",
        "middle_name": "MARLAYNE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "7744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN",
            "identifier": "6B344LO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Jean Bardal
• Kathryn Marie-Wilker Barrett, M.A. L.M.F.T
• Mary Margaret Bateman, R.N.
• Natalie Bauman, FNP-C
• Harold Baumchen, PSY. D, L.P.
• Janelle Alise Becker-Puklich, D.C.
• Catherine Beringer, MSW, LICSW
• Donald Lynn Bezdicek, PA-C
• Bianca Bianchi-Rossi, DC
• Dana Deeanne Birkholz, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.