Active NPI
Jacqueline May-Ly Vo, PT, DPT
- Orthopedic Physical Therapist
- Maplewood, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 12759
- Practice address
- 1570 Beam Ave Ste 200
Maplewood, MN 55109-3137 - Phone
- (651) 232-7820
- NPI assigned
- Jul 7, 2022
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 12759 | MN | Primary |
Addresses
Primary practice location
1570 Beam Ave Ste 200
Maplewood, MN 55109-3137
Mailing address
17 W 25TH St
Minneapolis, MN 55404-3448
Phone (651) 307-1446
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1390 University Ave W
Saint Paul, MN 55104-4001
Phone (651) 232-5412
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.63 of 100
- Quality
- 75.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12759 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Healtheast Outpatient Services, LLC | Orthopedic | Current | Accepting new patients |
| Fairview Health Services | Past | Accepting new patients |
Locations
800 Freeport Ave NW
Ste 200
Elk River, MN 55330
Phone (612) 672-5775
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
1570 Beam Ave
Ste 200
Saint Paul, MN 55109
Phone (651) 232-7820
1570 Beam Ave
Ste 300
Saint Paul, MN 55109
Phone (651) 232-2550
1390 University Ave W
Saint Paul, MN 55104
Phone (651) 232-4800
1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740
1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Clinic/Center
- Minneapolis, MN
- NPI 1588543862
-
- Medical Oncology Physician
- Maple Grove, MN
- NPI 1255105011
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657152000000",
"number": "1043943814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 W 25TH ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043448",
"telephone_number": "651-307-1446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1570 BEAM AVE STE 200",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551093137",
"telephone_number": "651-232-7820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VO",
"first_name": "JACQUELINE",
"middle_name": "MAY-LY",
"name_prefix": "Ms.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-07",
"last_updated": "2022-07-07",
"certification_date": "2022-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MN",
"license": "12759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.