Active NPI
Matthew Terry Wasland, DPT
- Physical Therapist
- Duluth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10573
- Practice address
- 530 E 2ND St
Essentia Health Polinsky Medical Rehabilitation
Duluth, MN 55805-1913 - Phone
- (218) 786-5360
- NPI assigned
- Feb 20, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10573 | MN | Primary |
Addresses
Primary practice location
530 E 2ND St
Essentia Health Polinsky Medical Rehabilitation
Duluth, MN 55805-1913
Mailing address
400 E 3Rd St
Essentia Health Duluth Clinic McL2Cred
Duluth, MN 55805-1951
Phone (218) 786-3146
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Duluth Clinic, LTD | Current | Accepting new patients | |
| The Duluth Clinic, LTD | Current | Accepting new patients | |
| The Duluth Clinic, LTD | Current | Accepting new patients | |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| The Duluth Clinic, LTD. | Current | Accepting new patients | |
| Duluth Graduate Medical Education Council Inc | Past | Accepting new patients | |
| The Duluth Clinic, LTD | Past | Accepting new patients |
Locations
1502 London Rd
Ste 102
Duluth, MN 55812
Phone (218) 576-0100
400 E 3rd St
#2
Duluth, MN 55805
Phone (218) 786-8319
530 E 2nd St
Duluth, MN 55805
Phone (218) 786-5300
4621 E Superior St
Duluth, MN 55804
Phone (218) 786-3550
4212 Grand Ave
Duluth, MN 55807
Phone (218) 786-3500
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
1542 Golf Course Rd
Ste 204
Grand Rapids, MN 55744
Phone (218) 322-4900
4855 W Arrowhead Rd
Hermantown, MN 55811
Phone (218) 786-3540
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Cloquet, MN
- NPI 1902563638
-
- Urgent Care Clinic/Center
- Duluth, MN
- NPI 1902459209
-
- Multi-Specialty Clinic/Center
- Hermantown, MN
- NPI 1235176058
-
- Multi-Specialty Clinic/Center
- Duluth, MN
- NPI 1245278936
-
- Multi-Specialty Clinic/Center
- Duluth, MN
- NPI 1669410221
-
- Community/Retail Pharmacy
- Hinckley, MN
- NPI 1245081066
-
- Family Medicine Physician
- Duluth, MN
- NPI 1972585867
-
- Multi-Specialty Clinic/Center
- Duluth, MN
- NPI 1245278209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487548800000",
"number": "1598204810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E 3RD ST",
"address_2": "ESSENTIA HEALTH DULUTH CLINIC MCL2CRED",
"city": "DULUTH",
"state": "MN",
"postal_code": "558051951",
"telephone_number": "218-786-3146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 E 2ND ST",
"address_2": "ESSENTIA HEALTH POLINSKY MEDICAL REHABILITATION",
"city": "DULUTH",
"state": "MN",
"postal_code": "558051913",
"telephone_number": "218-786-5360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASLAND",
"first_name": "MATTHEW",
"middle_name": "TERRY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-20",
"last_updated": "2017-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "10573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.