Individual provider Active NPI

Journey J Dockham, PT

  • Physical Therapist
  • Duluth, MN
National Provider Identifier
1740905413
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12805 Issued in MN
Practice address
4316 Rice Lake Rd Ste 107
Duluth, MN 55811-2885
Phone
(218) 727-1180
Fax
(844) 856-3737
NPI assigned
Oct 5, 2022
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 16091-24 WI
Physical Therapist 225100000X 12805 MN Primary

Addresses

Primary practice location

4316 Rice Lake Rd Ste 107
Duluth, MN 55811-2885

Mailing address

1939 Minnehaha Ave W Ste 300
Saint Paul, MN 55104-1033
Phone (651) 748-4338

Other practice location 1

2901 E Enterprise Ave Ste 600
Appleton, WI 54913-7401
Phone (920) 738-0671

Other names 1

  • Journey J Gontjes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221103002103 WI Practitioner - Physical Medicine and Rehabilitation 7416324496 Reassigns benefits to 2 organizations
I20250808001114 MN Practitioner - Physical Therapist in Private Practice 7416324496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Partners IncGroup PAC ID 4486552593, 135 clinicians

Practice addresses (Care Compare)

4316 Rice Lake Rd
Suite 107
Duluth, MN 55811-2885
Phone (218) 727-1180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation, LLC Physical Therapist CurrentSince Jul 6, 2023 Accepting new patients
Therapy Partners, Inc. Physical Therapist CurrentSince Aug 18, 2025 Accepting new patients
Peak Performance Physical Therapy & Sports Medicine, Inc. Physical Therapist CurrentSince Sep 26, 2022 Accepting new patients
Therapy Partners Inc Physical Therapist CurrentSince Aug 18, 2025 Accepting new patients
Empowerme Rehabilitation, LLC Physical Therapist CurrentSince Jul 6, 2023 Accepting new patients

Locations

2701 W Superior St
Ste 112
Duluth, MN 55806
Phone (218) 727-1180

4316 Rice Lake Rd
Ste 107
Duluth, MN 55811
Phone (218) 727-1180

1939 Minnehaha Ave W
Ste 300
Saint Paul, MN 55104

1700 Tower Dr W
Stillwater, MN 55082
Phone (651) 439-8540

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 287-3917

2901 E Enterprise Ave
Ste 600
Appleton, WI 54913
Phone (920) 738-0671

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1740905413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 MINNEHAHA AVE W STE 300",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551041033",
            "telephone_number": "651-748-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 RICE LAKE RD STE 107",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558112885",
            "telephone_number": "218-727-1180",
            "fax_number": "844-856-3737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 E Enterprise Ave Ste 600",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549137401",
            "country_code": "US",
            "telephone_number": "920-738-0671",
            "fax_number": "920-738-0773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOCKHAM",
        "first_name": "JOURNEY",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "16091-24",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOURNEY",
            "last_name": "GONTJES",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.