Journey J Dockham, PT
Individual provider Active NPI Physical Therapist · Duluth, MN
NPI 1740905413 · NPPES record last updated Jul 29, 2025
Key facts
- NPI
- 1740905413
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 12805 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Therapy Partners Inc
Practice addresses (Care Compare)
4316 Rice Lake Rd
Suite 107
Duluth, MN 55811-2885
Phone (218) 727-1180
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16091-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Partners, Inc. | Physical Therapist | Current |
Accepting new patients |
| Therapy Partners Inc | Physical Therapist | Current |
Accepting new patients |
| Peak Performance Physical Therapy & Sports Medicine, Inc. | Physical Therapist | Current |
Accepting new patients |
| Empowerme Rehabilitation, LLC | Physical Therapist | Current |
Accepting new patients |
| Empowerme Rehabilitation, LLC | Physical Therapist | Current |
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) 275-4706
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
2901 E Enterprise Ave
Ste 600
Appleton, WI 54913
Phone (920) 738-0671
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16091-24 | WI | |
| Physical Therapist | 225100000X | 12805 | MN | Yes |
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
- Journey J Gontjes
Other providers in Duluth, MN
- Regina Evelyn Dixon
- Helen Mitzi Doane
- Anne Margaret Dobbins
- Daniel P Dock
- Rebekah A Dockendorf
- Janice Esther Doe
- Ann Elizabeth Doherty
- Elizabeth Mary Doherty
- Maxwell James Doherty
- Ella Dohlin
All providers in Duluth, MN · Physical Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.