RUSTY WALLMAN (NPI# 1508969551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508969551 |
| Entity Type | Individual |
| Full Name | RUSTY WALLMAN |
| Credential | PT |
| Practice Address |
7872 Century Boulevard Chanhassen MN 55317 |
| Practice Telephone | 9524489081 |
| Practice Fax Number | 9524489088 |
| Mailing Telephone | 9524489081 |
| Mailing Fax Number | 9524489088 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
6935 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7872 CENTURY BOULEVARD |
| City | CHANHASSEN |
| State | MN |
| Zip Code | 55317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801245717 | Thaddeus Sharikov | Chiropractor | 7945 Stone Creek Dr. Ste 120, Chanhassen, MN 55317 | 2016-06-10 |
| 1720461668 | Steven C Witmer | Counselor | Northstar Regional Counseling, 7945 Stone Creek Drive Suite 140, Chanhassen, MN 55317 | 2015-07-08 |
| 1194078584 | Kentaro Ishikawa | Dentist | 190 Lake Dr E, Ste 130, Chanhassen, MN 55317 | 2012-10-22 |
| 1356559983 | Rtgmedical | General Acute Care Hospital | 2186 Baneberry Way W, Chanhassen, MN 55317 | 2007-05-18 |
| 1528273299 | Cam-tu Nguyen Dalluge | Dentist | 500 West 79th Street, Radiance Dental, Chanhassen, MN 55317 | 2007-05-14 |
| 1194938910 | Sheri Hinrichs | Psychologist | 600 W. 78th St. #220, Chanhassen, MN 55317 | 2007-05-08 |
| 1891833059 | Great Plains Dental | Dentist | 500 W 79th St, Chanhassen, MN 55317 | 2007-02-01 |
| 1073665014 | Judith Aarsvold Indrelie | Psychologist | 600 West 78th Street, Chanhassen, MN 55317 | 2007-01-18 |
| 1285709410 | Diane Patricia O'grady | Psychiatry & Neurology | 7945 Stone Creek Drive, Suite 130, Chanhassen, MN 55317 | 2006-11-22 |
| 1114097425 | Michael Jeffery Leonard | Dentist | 80 West 78th Street, Chanhassen, MN 55317 | 2006-11-08 |
| Find all providers in zip 55317 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306949359 | Nathan Stier | Physical Therapist | 7872 Century Blvd, Chanhassen, MN 55317 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952719296 | Jessica Pawlik | Physical Therapist | 3650 Plymouth Blvd Ste 100, Plymouth, MN 55446-3201 | 2014-07-31 |
| 1427499631 | Jonathan D Conway | Physical Therapist | 775 Prairie Center Dr Ste 250, Eden Prairie, MN 55344-7334 | 2013-07-16 |
| 1144492083 | Twin Cities Spine & Sports, Pllc | Physical Therapist | 6409 City West Pkwy, Suite 100, Eden Prairie, MN 55344-7845 | 2008-04-01 |
| 1245279306 | Peter S. Ames | Physical Therapist | 775 Prairie Center Dr, Suite 250, Eden Prairie, MN 55344-7314 | 2006-06-05 |
| 1912475450 | Jennifer Arnold | Physical Therapist | 410 Church St Se, Minneapolis, MN 55455-0222 | 2018-11-02 |
| 1942787049 | Taylor Jon Mcwilliams | Physical Therapist | 800 Prairie Center Dr Ste 230, Eden Prairie, MN 55344-7308 | 2018-07-23 |
| 1912322835 | Rebecca A Jorgenson | Physical Therapist | 11995 Singletree Ln, Suite 120, Eden Prairie, MN 55344-5347 | 2014-02-28 |
| 1740591700 | Travis Collin Gunderson | Physical Therapist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2010-06-24 |
| 1942521513 | Brittney Lee Braegelmann | Physical Therapist | 901 3rd St N, Waite Park, MN 56387-1964 | 2010-06-18 |
| 1235392887 | Jeffrey Robert Kennedy | Physical Therapist | 1604 1st St S, Willmar, MN 56201-4243 | 2008-07-03 |
| Find all providers with the same taxonomy | ||||
| City | CHANHASSEN |
| Zip Code | 55317 |
Please comment or provide details below to improve the information on RUSTY WALLMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.