Waypoint Minnesota PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WAYPOINT MINNESOTA PC

Practice address

9325 Upland LN N Ste 230
Maple Grove, MN 55369-4450

Phone

(763) 315-0466

NPI assigned

May 29, 2013

Organization subpart

No

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

Authorized official

Name

Justin ThielkeNPI 1487875118

Title

Owner

Phone

(763) 242-3436

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin Lee Thielke, D.C.

  • Chiropractor
  • Maple Grove, MN
  • NPI 1487875118

  MN

  Medicare reassignment Authorized official
• Christopher Alan Johnson, D.C.

  • Chiropractor
  • Eagan, MN
  • NPI 1598765448
  Medicare reassignment NPD
• David Anderson, PT

  • Physical Therapist
  • Eden Prairie, MN
  • NPI 1043634678
  NPD
• Erin K Baldridge, PT

  • Physical Therapist
  • Coon Rapids, MN
  • NPI 1093971145
  NPD
• Kyle H Baxter, DPT

  • Physical Therapist
  • St Louis Park, MN
  • NPI 1992010425
  NPD
• Craig Alan Schadow, D.C.

  • Chiropractor
  • Coon Rapids, MN
  • NPI 1982669206
  NPD
• Matthew Lee Vraa, P.T.

  • Physical Therapist
  • Eagan, MN
  • NPI 1235100918
  NPD
• Christopher Allison, PA-C

  • Physician Assistant
  • Brooklyn, NY
  • NPI 1033425467
  NPD
• Oliver Marcyl Ang, PT

  • Physical Therapist
  • Roseville, CA
  • NPI 1235443177
  NPD
• Katrina Kneeskern

  • Physical Therapist
  • Cupertino, CA
  • NPI 1619356409

  Single Specialty

  NPD
• Caleb A Anderson, PT

  • Physical Therapist
  • Bloomington, MN
  • NPI 1497182760
  NPD (past)
• Laken Frericks, DPT

  • Physical Therapist
  • Minneapolis, MN
  • NPI 1003466467
  NPD (past)

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732838400000",
    "number": "1699112805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9325 UPLAND LN N STE 230",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694450",
            "telephone_number": "763-315-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9325 UPLAND LN N STE 230",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694450",
            "telephone_number": "763-315-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYPOINT MINNESOTA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-29",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A",
        "authorized_official_last_name": "THIELKE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-242-3436"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philemina Washington
• Water Lily Counseling Inc.
• Heather Waterbury, DPT
• Brett Joseph Waverly, D.P.M.
• Kelly Nicole Wawryk, OD
• Waypoint Minnesota Sports PC
• Sheila Webb, MSW, LICSW
• Kari Webber, MSN RN FNP
• Lauren Elizabeth Webber
• Brad Alan Weeks, O.D.

• All providers in Maple Grove, MN
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; 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.

Verify at the official NPI Registry.