Active NPI
Sarah Ann Jentink
- Physical Therapist
- Faribault, MN
National Provider Identifier
1013411123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11009
- Practice address
- 35 State Ave
Faribault, MN 55021-6368 - Phone
- (507) 332-4790
- NPI assigned
- Mar 22, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11009 | MN | Primary |
Addresses
Primary practice location
35 State Ave
Faribault, MN 55021-6368
Mailing address
13709 Wentworth Ave Apt 19
Burnsville, MN 55337-4533
Phone (920) 850-6306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11009 | MN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521676800000",
"number": "1013411123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13709 WENTWORTH AVE APT 19",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553374533",
"telephone_number": "920-850-6306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 STATE AVE",
"city": "FARIBAULT",
"state": "MN",
"postal_code": "550216368",
"telephone_number": "507-332-4790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENTINK",
"first_name": "SARAH",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-22",
"last_updated": "2018-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "11009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Faribault, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.