Bradie Lynn Nelk

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9494 Issued in MN

Practice address

1205 5TH Ave N
Wheaton, MN 56296-4500

Phone

(320) 563-8269

Fax

(320) 563-8175

NPI assigned

Sep 25, 2013

Last updated

Sep 25, 2013By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Big Stone Therapies, Inc

  • Physical Therapy Clinic/Center
  • Big Stone City, SD
  • NPI 1124044656

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1811323611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 WASHINGTON AVE",
            "city": "ORTONVILLE",
            "state": "MN",
            "postal_code": "562781357",
            "telephone_number": "320-839-4271",
            "fax_number": "320-839-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 5TH AVE N",
            "city": "WHEATON",
            "state": "MN",
            "postal_code": "562964500",
            "telephone_number": "320-563-8269",
            "fax_number": "320-563-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELK",
        "first_name": "BRADIE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "9494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Robert Marchetti, DDS
• Meritcare Wheaton Medical Center (MeritCare Wheaton Medical Center Pharmacy)
• Minnewaska Community Homecare LLC
• Mitteness Chiropractic Clinic
• Paul M Mitteness, D.C.
• Mary Peyton, SLP
• Prairie Acupuncture and Natural Healing Center, Inc.
• Ranney Furniture and Funeral, Inc. (Ranney's Furniture)
• Michelle Barbara Rinke, C.F.N.P.
• Sanford Health Network North (Sanford Wheaton)

• Physical Therapist in Wheaton, MN
• Providers in Wheaton, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.