Bonnie Jean Wilking-Penn, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4111 Issued in MN

Practice address

2550 University Ave W
Ste 189S
Saint Paul, MN 55114-1052

Phone

(651) 332-7474

Fax

(651) 332-7475

NPI assigned

Jul 2, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minnesota Head and Neck Pain Clinic PAGroup PAC ID 2769453687, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bonnie.wilking.penn.1@13597.direct.athenahealth.com

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.

• Minnesota Head and Neck Pain Clinic, PA

  • Specialist
  • St Paul, MN
  • NPI 1104850155
  Medicare reassignment Care Compare group NPD
• Minnesota Head and Neck Pain Clinic, PA

  • Specialist
  • Burnsville, MN
  • NPI 1255715181
  NPD

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246492800000",
    "number": "1750510426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE W",
            "address_2": "STE 189S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141052",
            "telephone_number": "651-332-7474",
            "fax_number": "651-332-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE W",
            "address_2": "STE 189S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141052",
            "telephone_number": "651-332-7474",
            "fax_number": "651-332-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKING-PENN",
        "first_name": "BONNIE",
        "middle_name": "JEAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "4111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Wilhelmy, CPNP
• Kimberly Ann Wilke
• Michael Orlyn Wilke, MA., L.P.
• Chad Russell Wilker
• Michael Wilkes
• Tracey Lynn Wilkins, LICSW
• Charles R Wilkinson, DDS
• Jenna Leroy Wilkinson, M.D.
• Lea Wilkinson
• Margaret Wilkinson, LMFT

• Physical Therapist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.