Jesse Scheidecker, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

9889 Issued in MN

Practice address

1667 17TH Ave E Ste 107
Shakopee, MN 55379-4433

Phone

(952) 224-8120

Fax

(952) 224-8121

NPI assigned

Mar 23, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Osr Physical Therapy Limited PartnershipGroup PAC ID 6103176540, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Osr Physical Therapy Limited Partnership

  • Physical Therapist
  • Chanhassen, MN
  • NPI 1336625326
  Medicare reassignment Care Compare group NPD
• Pathways Chiropractic Health Center of Prior Lake, PA

  • Chiropractor
  • Prior Lake, MN
  • NPI 1891901609
  Medicare reassignment NPD
• Osr Physical Therapy Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Chanhassen, MN
  • NPI 1932703691
  NPD
• Eagle Creek Chiropractic

  • Physical Therapist
  • Prior Lake, MN
  • NPI 1073847554
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1013301514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7872 CENTURY BLVD",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553178005",
            "telephone_number": "952-224-8120",
            "fax_number": "952-224-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1667 17TH AVE E STE 107",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553794433",
            "telephone_number": "952-224-8120",
            "fax_number": "952-224-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEIDECKER",
        "first_name": "JESSE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-23",
        "last_updated": "2023-07-13",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MN",
            "license": "9889",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3481",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MN",
            "license": "9889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santur Transport LLC
• Mohamed Hassan Santur, NEMT
• Jacqueline Annette Saul, DC
• Joyce Marie Schanzenbach, O.D.
• Lynda Kay Schaumburg, RD, LD
• Melissa Schmitt
• Casey Lee Schneider
• Jennifer Lynn Schuldt, PSY D
• Scott Carver Dakota Cap Agency, Inc
• Tonya Marie Seaman, DPT

• Orthopedic Physical Therapist in Shakopee, MN
• Providers in Shakopee, MN by specialty
• Orthopedic Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.