Active NPI
Elizabeth Jean Wilhelmson, P.T.
- Physical Therapist
- Duluth, MN
National Provider Identifier
1962676239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3664-024
- Practice address
- 4721 Dodge St
Duluth, MN 55804-1518 - Phone
- (218) 525-6567
- NPI assigned
- Apr 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3664-024 | WI | Primary |
Addresses
Primary practice location
4721 Dodge St
Duluth, MN 55804-1518
Mailing address
4721 Dodge St
Duluth, MN 55804-1518
Phone (218) 525-6567
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40156600 | Medicaid | WI |
Other names 1
- Miss Elizabeth Jean Arkulary
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3664-024 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208390400000",
"number": "1962676239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4721 DODGE ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558041518",
"telephone_number": "218-525-6567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4721 DODGE ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558041518",
"telephone_number": "218-525-6567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILHELMSON",
"first_name": "ELIZABETH",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-17",
"last_updated": "2008-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "3664-024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40156600",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "ARKULARY",
"middle_name": "JEAN",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.