DR. BEN WAHLQUIST (NPI# 1861053944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861053944 |
| Entity Type | Individual |
| Full Name | DR. BEN WAHLQUIST |
| Credential | DPT |
| Practice Address |
15301 Grove Cir N Maple Grove MN 55369-4475 |
| Practice Telephone | 9529935900 |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
11596 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
15301 GROVE CIR N |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369-4475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043399314 | Jennifer Lynn Quisberg | Physical Therapist | 15301 Grove Cir N, Maple Grove, MN 55369-4475 | 2006-11-06 |
| 1013575034 | Tamara Mukete | Physical Therapist | 15301 Grove Cir N, Maple Grove, MN 55369-4475 | 2019-06-04 |
| 1588222616 | Kenzie Jean Kalway | Physical Therapist | 15301 Grove Cir N, Maple Grove, MN 55369-4475 | 2019-06-04 |
| 1477049401 | Joshua James Elliott | Physical Therapist | 15301 Grove Cir N, Maple Grove, MN 55369-4475 | 2018-07-02 |
| 1750803995 | Benjamin Holker | Physical Therapist | 15301 Grove Cir N, Maple Grove, MN 55369-4475 | 2017-07-10 |
| 1174043319 | Bradley Baker | Physical Therapist | 15301 Grove Cir N, Maple Grove, MN 55369-4475 | 2017-06-20 |
| 1841729092 | Lauren Marie Yurek | Physical Therapist | 15301 Grove Cir N, Maple Grove, MN 55369-4475 | 2017-06-09 |
| 1154865996 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 15301 Grove Cir N, Maple Grove, MN 55369-4475 | 2016-12-13 |
| 1740639889 | Tegan Otto | Physical Therapist | 15301 Grove Cir N, Maple Grove, MN 55369-4475 | 2016-06-09 |
| 1720437791 | Bridgett Ann Diers | Physical Therapist | 15301 Grove Cir N, Maple Grove, MN 55369-4475 | 2016-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619338274 | Valerie Johnson | Physical Therapist | 9827 Maple Grove Pkwy N, Maple Grove, MN 55369-4491 | 2016-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063930493 | Thomas Broback | Physical Therapist | 14382 60th St N, Stillwater, MN 55082-6311 | 2017-09-06 |
| 1134667686 | Tiffany Moriarity | Physical Therapist | 13690 Rogers Dr Ste 180, Rogers, MN 55374-9309 | 2017-02-04 |
| 1437603016 | Mark Deschepper | Physical Therapist | 1600 University Ave W # 10, Saint Paul, MN 55104-3898 | 2016-08-11 |
| 1750757522 | Caleb Vizina | Physical Therapist | 1116 County Road 6 Sw, Howard Lake, MN 55349 | 2015-08-17 |
| 1467867010 | Andrea Price | Physical Therapist | 5775 Wayzata Blvd Ste 900, Saint Louis Park, MN 55416-2674 | 2014-06-23 |
| 1124431481 | John E Amundson | Physical Therapist | 410 30th Ave E Ste 102, Alexandria, MN 56308-4770 | 2014-06-04 |
| 1285975078 | Jacob Allen Wendland | Physical Therapist | 1304 W Lincoln Ave Ste C, Fergus Falls, MN 56537-4818 | 2013-03-05 |
| 1740524867 | Lisa Zeman | Physical Therapist | 8900 109th Ave N Ste 700, Champlin, MN 55316-3150 | 2012-11-15 |
| 1326309709 | Jacob Kretschmar | Physical Therapist | 13274 53rd St Ne, Spicer, MN 56288-9437 | 2012-06-02 |
| 1225279516 | Patricia F Knecht | Physical Therapist | 1560 Beam Ave Ste D, Maplewood, MN 55109-1171 | 2009-03-16 |
| Find all providers with the same taxonomy | ||||
| City | MAPLE GROVE |
| Zip Code | 55369 |
Please comment or provide details below to improve the information on DR. BEN WAHLQUIST.
| 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.