Individual provider Active NPI

Jacqueline May-Ly Vo, PT, DPT

  • Orthopedic Physical Therapist
  • Maplewood, MN
National Provider Identifier
1043943814
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
12759 Issued in MN
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

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20220822003371 MN Practitioner - Physical Therapist in Private Practice 1850774985 Reassigns benefits to 3 organizations

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
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

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 100Reported as group
Quality
75.41
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12759MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care Current Accepting new patients
Fairview Express Care CurrentSince Sep 1, 2024 Accepting new patients
Fairview Express Care CurrentSince Sep 1, 2024 Accepting new patients
Healtheast Outpatient Services, LLC Orthopedic CurrentSince Aug 26, 2022 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.

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.

Verify at the official NPI Registry.