Pamela Bloedel, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5173 Issued in MN

Practice address

8100 W 78TH St
Edina, MN 55439-2516

Phone

(952) 914-8065

Fax

(952) 914-8066

NPI assigned

Apr 11, 2006

Last updated

Apr 2, 2020By 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 2

Addresses

Other identifiers 2

Other names 1

• Pamela Prahm Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: pbloedel71669@excellian.direct.allina.com

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.

• Allina Health System

  dba Allina Health TeleRheumatology

  • Rheumatology Physician
  • Coon Rapids, MN
  • NPI 1952146516
  NPD (past)
• Orthorehab Specialists, Inc

  • Physical Therapist
  • Edina, MN
  • NPI 1750584777
  NPD (past)
• Orthorehab Specialists, Inc.

  • Physical Therapist
  • Minneapolis, MN
  • NPI 1396754206
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1447213137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 W 78TH ST STE 205",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392560",
            "telephone_number": "952-914-8065",
            "fax_number": "952-914-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 W 78TH ST",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392516",
            "telephone_number": "952-914-8065",
            "fax_number": "952-914-8066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Nicollet Mall",
            "address_2": "Suite 1935",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554022606",
            "country_code": "US",
            "telephone_number": "612-339-2041",
            "fax_number": "612-339-2042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOEDEL",
        "first_name": "PAMELA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "5173",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MN",
            "license": "5173",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC INDIV PROV ID",
            "identifier": "77G03BL",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA INDIV PROV ID",
            "identifier": "6405876",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "PRAHM",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Blair Blanchette, DNP
• Vanessa Blaney, PT, DPT
• BLC-Edina Park Plaza, LLC (Brookdale Edina)
• Christine Ann Morrison Bliven, MD
• Donna L Block, M.D.
• Bloom ABA Inc
• Aaron Philip Bloom, DO, MSC.
• Lauren Christine Bloomgren, HID
• David Bloomquist, ATC
• Suzanne Renee Bloomquist, ATC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.