Individual provider Active NPI

Jon Frikken, DPT

  • Physical Therapist
  • Saint Michael, MN
National Provider Identifier
1013534833
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11870 Issued in MN
Practice address
601 Central Ave W Ste 102
Saint Michael, MN 55376-9711
Phone
(763) 595-1300
Fax
(763) 276-1190
NPI assigned
Jun 26, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11870 MN Primary

Addresses

Primary practice location

601 Central Ave W Ste 102
Saint Michael, MN 55376-9711

Mailing address

1939 Minnehaha Ave W Ste 300
Saint Paul, MN 55104-1033
Phone (651) 748-4338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211006001447 MN Practitioner - Physical Therapist in Private Practice 8123426178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Minnesota Medical School, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Partners Inc 135 clinicians

Practice addresses (Care Compare)

601 Central Ave W
Suite 102
Saint Michael, MN 55376-9711
Phone (763) 595-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11870MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Partners, Inc. Physical Therapist CurrentSince Feb 28, 2022 Accepting new patients
Therapy Partners Inc Physical Therapist CurrentSince Feb 28, 2022 Accepting new patients

Locations

5959 Baker Rd
Ste 340
Minnetonka, MN 55345
Phone (651) 348-7428

601 Central Ave W
Ste 102
Saint Michael, MN 55376
Phone (763) 595-1300

7581 9th St N
Ste 100
Saint Paul, MN 55128

1939 Minnehaha Ave W
Ste 100
Saint Paul, MN 55104
Phone (651) 348-7428

1939 Minnehaha Ave W
Ste 300
Saint Paul, MN 55104

1700 Tower Dr W
Stillwater, MN 55082
Phone (651) 275-4706

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1013534833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 MINNEHAHA AVE W STE 300",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551041033",
            "telephone_number": "651-748-4338",
            "fax_number": "651-748-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CENTRAL AVE W STE 102",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553769711",
            "telephone_number": "763-595-1300",
            "fax_number": "763-276-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIKKEN",
        "first_name": "JON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "11870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Michael, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.