IndividualActive
Samantha Wheelock, LPTA
NPI 1083984462 · Physical Therapy Assistant · Bethel, MN
Provider details
- NPI number
- 1083984462
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LPTA
- Sex
- Female
- Sole proprietor
- No
- License
- A1350 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
139 Main St
Bethel, MN 55005-0136
Phone: (763) 269-8051
Street-level locationGet directions
Mailing address
139 Main St
Bethel, MN 55005
Registry dates
- Enumerated
- 2012-01-03
- Last updated
- 2012-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.