Individual provider Active NPI

Janelle R Beddow Van Erp

  • Physical Therapist
  • Henning, MN
National Provider Identifier
1447465935
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5306 Issued in MN
Practice address
801 Inman St
Henning, MN 56551-4102
Phone
(218) 548-5580
Fax
(218) 632-8765
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5306 MN Primary

Addresses

Primary practice location

801 Inman St
Henning, MN 56551-4102

Mailing address

36907 S Silver Lake Rd
Battle Lake, MN 56515-9108
Phone (218) 640-1121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1447465935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36907 S SILVER LAKE RD",
            "city": "BATTLE LAKE",
            "state": "MN",
            "postal_code": "565159108",
            "telephone_number": "218-640-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 INMAN ST",
            "city": "HENNING",
            "state": "MN",
            "postal_code": "565514102",
            "telephone_number": "218-548-5580",
            "fax_number": "218-632-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDDOW VAN ERP",
        "first_name": "JANELLE",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "5306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henning, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.