Active NPI
Justin Erickson
- Kinesiotherapist
- Savage, MN
National Provider Identifier
1023327285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Kinesiotherapist
- Practice address
- 7447 Egan Dr Ste 203
Savage, MN 55378-2398 - Phone
- (952) 649-2005
- Fax
- (952) 226-5504
- NPI assigned
- Oct 5, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Kinesiotherapist | 226300000X | MN | Primary |
Addresses
Primary practice location
7447 Egan Dr Ste 203
Savage, MN 55378-2398
Mailing address
7447 Egan Dr Ste 203
Savage, MN 55378-2398
Phone (952) 649-2005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225347537 | Medicaid | MN |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avoid Surgery | Kinesiotherapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Kinesiotherapist
- Apple Valley, MN
- NPI 1225347537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286236800000",
"number": "1023327285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7447 EGAN DR STE 203",
"city": "SAVAGE",
"state": "MN",
"postal_code": "553782398",
"telephone_number": "952-649-2005",
"fax_number": "952-226-5504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7447 EGAN DR STE 203",
"city": "SAVAGE",
"state": "MN",
"postal_code": "553782398",
"telephone_number": "952-649-2005",
"fax_number": "952-226-5504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "JUSTIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-05",
"last_updated": "2010-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "226300000X",
"taxonomy_group": "",
"desc": "Kinesiotherapist",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1225347537",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Savage, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.