Individual provider Active NPI

James Vesel, PTA

  • Physical Therapy Assistant
  • Woodbury, MN
National Provider Identifier
1942745815
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A2078 Issued in MN
Practice address
707 Bielenberg Dr
Suite 108
Woodbury, MN 55125-1426
Phone
(651) 846-1952
NPI assigned
Dec 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A2078 MN Primary

Addresses

Primary practice location

707 Bielenberg Dr
Suite 108
Woodbury, MN 55125-1426

Mailing address

12055 41St Ave N
Apt 206
Plymouth, MN 55441-1228
Phone (612) 219-1885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A2078MNMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1942745815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12055 41ST AVE N",
            "address_2": "APT 206",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554411228",
            "telephone_number": "612-219-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 BIELENBERG DR",
            "address_2": "SUITE 108",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251426",
            "telephone_number": "651-846-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESEL",
        "first_name": "JAMES",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-30",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A2078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.