JESSICA PAWLIK (NPI# 1952719296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952719296 |
| Entity Type | Individual |
| Full Name | JESSICA PAWLIK |
| Credential | BSCPT |
| Practice Address |
3650 Plymouth Blvd Ste 100 Plymouth MN 55446-3201 |
| Practice Telephone | 7634007438 |
| Practice Fax Number | 7632059371 |
| Mailing Telephone | 7634007438 |
| Mailing Fax Number | 7632059371 |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2016-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
8947 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
8947 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3650 PLYMOUTH BLVD STE 100 |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55446-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114552379 | Molly M Mahoney | Pharmacist | 4110 Juneau Lane N, Plymouth, MN 55446 | 2020-03-09 |
| 1073064804 | Owen Payne Kusick | Student in an Organized Health Care Education/Training Program | 16717 49th Pl N, Plymouth, MN 55446 | 2016-10-17 |
| 1043696214 | Kari Shoemaker | Speech-Language Pathologist | 5855 Cheshire Parkway, Plymouth, MN 55446 | 2015-08-10 |
| 1902206899 | Kathleen E Steensma | Nurse Practitioner | 15700 37th Ave N. #110, Plymouth, MN 55446 | 2014-08-27 |
| 1851715163 | Group Health Plan Inc | Clinic/Center | 5000 Fernbrook Ln N, Plymouth, MN 55446 | 2014-02-06 |
| 1588903009 | Laura Davidson | Physician Assistant | 3365 Plymouth Blvd., Suite 110, Plymouth, MN 55446 | 2013-02-04 |
| 1366680688 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6025 Shenandoah Ln N, Plymouth, MN 55446 | 2009-01-23 |
| 1205046646 | Merida A Miller | Obstetrics & Gynecology | 4155 Cty Rd 101 N, Plymouth, MN 55446 | 2007-05-23 |
| 1376684746 | West Metro Ophthalmology, Pa | Ophthalmology | 15655 37th Ave N Ste 200, Plymouth, MN 55446 | 2007-02-09 |
| 1952401390 | Grand St Paul Cvs LLC | Pharmacy | 4140 Rd 101 N, Plymouth, MN 55446 | 2006-09-25 |
| Find all providers in zip 55446 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1306949359 | Nathan Stier | Physical Therapist | 7872 Century Blvd, Chanhassen, MN 55317 | 2006-09-06 |
| 1508969551 | Rusty Wallman | Physical Therapist | 7872 Century Boulevard, Chanhassen, MN 55317 | 2006-09-06 |
| 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 |
| Find all providers with the same taxonomy | ||||
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| 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.