Physicians Neck and Back Clinics PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PHYSICIANS NECK AND BACK CLINICS PA

Practice address

3050 Centre Pointe Drive
Suite 200
Roseville, MN 55113

Phone

(651) 639-9150

Fax

(651) 639-9153

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Joseph A Wegner, MD

Title

Owner Vice President

Phone

(651) 639-9150

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437249489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 CENTRE POINTE DRIVE",
            "address_2": "SUITE 200",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "651-639-9150",
            "fax_number": "651-639-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 CENTRE POINTE DRIVE",
            "address_2": "SUITE 200",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "651-639-9150",
            "fax_number": "651-639-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS NECK AND BACK CLINICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEGNER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER VICE PRESIDENT",
        "authorized_official_telephone_number": "651-639-9150",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Allen Phelan, D.O.
• Jacquelin A Phelps
• Jenna Grace Phelps
• Phoenix Sleep Solutions, LLC
• Physicians Neck & Back Clinics
• Erika Tyyne Pieniniemi, MPS, LPCC, LADC
• Kelly Pieper, MSW, LICSW
• Jennifer Lee Pinion, LMFT
• Ryan N Plasch, MS, LPCC
• Platinum Health Regenerative Solutions, PA

• Physical Medicine & Rehabilitation Physician in Roseville, MN
• Providers in Roseville, MN by specialty
• Physical Medicine & Rehabilitation Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.