Ashley Waller (NPI# 1265984587, PAC ID# 1254611775) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OCCUPATIONAL THERAPY.
| Nation Provider ID (NPI) | 1265984587 |
| PAC ID by PECOS | 1254611775 |
| Professional Enrollment ID | I20161129001298 |
| Full Name | Ashley Waller |
| Organization Legal Name | TRIA ORTHOPAEDIC CENTER LLC |
| Address |
155 Radio Dr Woodbury MN 55125-2619 |
| Phone Number | 9528318742 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | OCCUPATIONAL THERAPY |
| Group Practice PAC ID | 3173570561 |
| Number of Group Practice Members | 222 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 155 Radio Dr, Woodbury, MN 55125-2619 | 9528318742 | TRIA ORTHOPAEDIC CENTER LLC |
| Organization Legal Name | TRIA ORTHOPAEDIC CENTER LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle A Reinink | Physical Therapy | Tria Orthopaedic Center LLC | 3800 American Blvd W, Suite 200, Bloomington, MN 55431-4420 |
| Connor K Roach | Occupational Therapy | Tria Orthopaedic Center LLC | 8100 Northland Dr, Bloomington, MN 55431-4800 |
| Aimee M Custer | Clinical Psychologist | Tria Orthopaedic Center LLC | 8100 Northland Dr, Bloomington, MN 55431-4800 |
| Travis L Orth | Physical Therapy | Tria Orthopaedic Center LLC | 155 Radio Dr, Woodbury, MN 55125-2619 |
| Kathleen S Peter | Orthopedic Surgery | Tria Orthopaedic Center LLC | 8100 Northland Dr, Bloomington, MN 55431-4800 |
| Amy E Nelson | Occupational Therapy | Tria Orthopaedic Center LLC | 8100 Northland Dr, Bloomington, MN 55431-4800 |
| Rebekah L Lawrence | Physical Therapy | Tria Orthopaedic Center LLC | 8100 Northland Dr, Bloomington, MN 55431-4800 |
| Sierra J Kahler | Physical Therapy | Tria Orthopaedic Center LLC | 3800 American Blvd W, Bloomington, MN 55431-4420 |
| Gordon M Aamoth | Orthopedic Surgery | Tria Orthopaedic Center LLC | 8100 Northland Dr, Bloomington, MN 55431-4800 |
| Derek N Notman | Diagnostic Radiology | Tria Orthopaedic Center LLC | 8100 Northland Dr, Bloomington, MN 55431-4800 |
| Street Address |
155 RADIO DR |
| City | WOODBURY |
| State | MN |
| Zip | 55125-2619 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric L Kaufmann | Physical Therapy | Tria Orthopaedic Center LLC | 155 Radio Dr, Woodbury, MN 55125-2619 |
| Kim M Waterbury | Occupational Therapy | Tria Orthopaedic Center LLC | 155 Radio Dr, Woodbury, MN 55125-2619 |
| Jaclyn Ryan | Physical Therapy | Tria Orthopaedic Center LLC | 155 Radio Dr, Woodbury, MN 55125-2619 |
| Samuel A L Bugbee | Sports Medicine | Tria Orthopaedic Center LLC | 155 Radio Dr, Woodbury, MN 55125-2619 |
| Michael Charles Lofboom | Physical Therapy | Tria Orthopaedic Center LLC | 155 Radio Dr, Woodbury, MN 55125-2619 |
| Chad J Griffith | Orthopedic Surgery | Tria Orthopaedic Center LLC | 155 Radio Dr, Woodbury, MN 55125-2619 |
| John A Noll | Sports Medicine | Tria Orthopaedic Center LLC | 155 Radio Dr, Woodbury, MN 55125-2619 |
| Gary D Webskowski | Physical Therapy | Tria Orthopaedic Center LLC | 155 Radio Dr, Woodbury, MN 55125-2619 |
| Jonathon D Sikorski | Psychologist, Clinical | Tria Orthopaedic Center LLC | 155 Radio Dr, Woodbury, MN 55125-2619 |
| Maria Kelley Kearney | Occupational Therapy | Tria Orthopaedic Center LLC | 155 Radio Dr, Woodbury, MN 55125-2619 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kassia E Coleman | Clinical Social Worker | Better Outlook LLC | 6053 Hudson Rd, Suite 220, Woodbury, MN 55125-1000 |
| Elvis T Starllone | Nurse Practitioner | Better Outlook LLC | 6053 Hudson Rd, Suite 220, Woodbury, MN 55125-1000 |
| Dasherline Cox Johnson | Psychologist, Clinical | 6043 Hudson Rd, Suite 355, Woodbury, MN 55125-1017 | |
| Rosella Collins Puoch | Clinical Social Worker | 6043 Hudson Rd, Woodbury, MN 55125-1020 | |
| Kaitlin D Buckner | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Rebekah J Wilson | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Victoria M Elmer | Addiction Medicine | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Shelley R Stepan | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Richard P Lamon | Addiction Medicine | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Kelly J Adams | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Find all physicians in zip 55125 | |||
| City | WOODBURY |
| Zip Code | 55125 |
| Specialty | OCCUPATIONAL THERAPY |
| City + Specialty | WOODBURY + OCCUPATIONAL THERAPY |
Please comment or provide details below to improve the information on Ashley Waller.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.