DR. JACALYN ANNE BOSSEN KAWIECKI


Address: 1412 W 4th St, Red Wing Healthcare Community, Red Wing, MN 55066-2107
Phone: 6513882843

DR. JACALYN ANNE BOSSEN KAWIECKI (NPI# 1659329621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659329621
Entity Type Individual
Full Name DR. JACALYN ANNE BOSSEN KAWIECKI
Other Name DR. JACALYN ANNE DAHL
Credential MD, MHA
Practice Address 1412 W 4th St
Red Wing Healthcare Community
Red Wing
MN 55066-2107
Mailing Address 6235 Wentworth Ave
J.a.b. Kawiecki, Inc.; D.b.a. Excel Rehabilitation
Richfield
MN 55423-1540
Practice Telephone 6513882843
Practice Fax Number 6513889502
Mailing Telephone 6124811233
Mailing Fax Number 6128863231
Enumeration Date 2006-05-04
Last Update Date 2013-09-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208100000X Physical Medicine & Rehabilitation 42926 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TRICARE 611855422B159 01
WI 34247000 05
HEALTH PARTNERS HP37218 01
MN 206922900 05
MN BCBS MINNESOTA 81Q7G72KA 01
PREFERRED ONE 963371033094 01

Office Location

Street Address 1412 W 4TH ST
RED WING HEALTHCARE COMMUNITY
City RED WING
State MN
Zip Code 55066-2107

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689130999 Red Wing Health Center LLC Skilled Nursing Facility 1412 W 4th St, Red Wing, MN 55066-2107 2019-02-12
1982176582 Red Wing Health Center LLC Skilled Nursing Facility 1412 W 4th St, Red Wing, MN 55066-2107 2018-12-20
1841617172 Red Wing Health Center Psychologist 1412 W 4th St, Red Wing, MN 55066-2107 2014-03-25
1740529007 James M Plummer Physical Therapist 1412 W 4th St, Red Wing, MN 55066-2107 2013-02-06
1205070240 Lucinda G Beise Occupational Therapy Assistant 1412 W 4th St, Red Wing Health Care Center, Red Wing, MN 55066-2107 2009-04-21
1841349925 Red Wing Healthcare LLC Skilled Nursing Facility 1412 W 4th St, Red Wing, MN 55066-2107 2007-01-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750850376 Midwest Transit Transportation Broker 217 Plum Street, Suite #220, Red Wing, MN 55066 2018-11-14
1407343221 Ethos Physical Therapy LLC Physical Therapist 2030 Neal St, Redwing, MN 55066 2018-04-17
1255759205 Brittney Joy Amdahl Acupuncturist 201 East Ave., Suite D, Red Wing, MN 55066 2014-04-06
1689807000 Sarah Jean Haar Massage Therapist 416 W. 3rd St., Red Wing, MN 55066 2009-09-02
1437395241 George Edward Jackish Internal Medicine 28089 Bayview Drive, Red Wing, MN 55066 2008-12-29
1750554754 Jess Brehmer Orthopaedic Surgery 701 Hewitt Bvld, Red Wing, MN 55066 2008-04-10
1992825517 Joseph H. Sevlie Chiropractor 1626 W. 3rd St., Red Wing, MN 55066 2007-03-29
1134269392 City of Red Wing Ambulance 315 W 4th St, Red Wing, MN 55066 2007-02-07
1225196512 Kathryn Zoff Seivert Phd Lp Pa Psychologist 1751 Reichert Ave, Red Wing, MN 55066 2006-12-05
1417024217 Kevin Curtis Smith Chiropractor 212 Fulton, Red Wing, MN 55066 2006-11-29
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Taxonomy Information

Taxonomy Code 208100000X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation

Taxonomy Definition

Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851931349 Andrew J Will Md Pa Physical Medicine & Rehabilitation 1463 White Oak Dr, Chaska, MN 55318-2525 2020-01-13
1497225742 Jessica Lynch Physical Medicine & Rehabilitation 2015 Hennepin Ave N, Glencoe, MN 55336-1446 2018-11-29
1306323514 Peggy Golembeck Physical Medicine & Rehabilitation 6211 Alden Way Ne, Fridley, MN 55432-4824 2018-07-20
1225523970 Burnsville Surgery Center, P.a. Physical Medicine & Rehabilitation 14551 County Road 11 Ste 110, Burnsville, MN 55337-4735 2018-06-26
1790291748 Allied Physical Therapy LLC Physical Medicine & Rehabilitation 506 E Kenny Road, Suite 100, Saint Paul, MN 55130-4555 2017-12-28
1336655521 Andrew J Will Md Pa Physical Medicine & Rehabilitation 14551 County Road 11 Ste 100, Burnsville, MN 55337-4799 2017-12-26
1336677855 Matthew David Hodgden Physical Medicine & Rehabilitation 1522 N Riverfront Dr, Mankato, MN 56001 2017-05-29
1902264278 Andrew Steiner Physical Medicine & Rehabilitation 1673 Interlaken Ct, Waconia, MN 55387-2200 2016-02-02
1841655156 Summit Orthopedics, Ltd Physical Medicine & Rehabilitation 2800 Chicago Ave Ste 402, Minneapolis, MN 55407-1352 2015-12-31
1750797072 Andrew J Will Md Pa Physical Medicine & Rehabilitation 7270 Forestview Ln N Ste 100, Maple Grove, MN 55369-5555 2014-07-08
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City RED WING
Zip Code 55066

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Dataset Information

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.

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