Active NPI
Jill M Lawrence, PT
- Physical Therapist
- Chanhassen, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7278
- Practice address
- 2665 W 78TH St
Chanhassen, MN 55317-4502 - Phone
- (952) 835-4512
- Fax
- (888) 425-0398
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 7278 | MN | Primary |
Addresses
Primary practice location
2665 W 78TH St
Chanhassen, MN 55317-4502
Mailing address
7825 3Rd St N Ste 105
Oakdale, MN 55128-5444
Phone (952) 835-4512
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 072770 | Other | MN | OPTUM |
| HP39431 | Other | MN | HEALTH PARTNERS |
| 487475700 | Medicaid | MN | |
| 6404273 | Other | MN | MEDICA |
| 200K5LA | Other | MN | BLUE CROSS MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3800 American Blvd W
Suite 200
Bloomington, MN 55431-4420
Phone (952) 831-8742
8100 Northland Dr
Bloomington, MN 55431-4800
Phone (952) 831-8742
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tria Orthopaedic Center LLC | Physical Therapist | Current | Accepting new patients |
Locations
3800 American Blvd W
Bloomington, MN 55431
Phone (612) 925-8365
3800 American Blvd W
Ste 200
Bloomington, MN 55431
Phone (952) 806-5510
8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626
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.
-
dba TRIA Orthopaedic Clinic
- Orthopaedic Surgery Physician
- Bloomington, MN
- NPI 1518273085
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1043248511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7825 3RD ST N STE 105",
"city": "OAKDALE",
"state": "MN",
"postal_code": "551285444",
"telephone_number": "952-835-4512",
"fax_number": "888-425-0398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2665 W 78TH ST",
"city": "CHANHASSEN",
"state": "MN",
"postal_code": "553174502",
"telephone_number": "952-835-4512",
"fax_number": "888-425-0398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "JILL",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "7278",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTUM",
"identifier": "072770",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP39431",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "487475700",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6404273",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS MN",
"identifier": "200K5LA",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chanhassen, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.