Jasleen K Agherrabi, DPT

Individual provider Active NPI Physical Therapist · Rochester, MN

NPI 1073136180 · NPPES record last updated Jul 2, 2024

Key facts

NPI
1073136180
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
12456 (MN)
Practice address
200 1St St SW
Rochester, MN 55905-0001
Phone
(507) 284-2511
NPI assigned
May 22, 2020
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20211013002752 MN Practitioner - Physical Therapist in Private Practice 0547668006 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
14945WIMDPhysical Therapist
14945-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Current Accepting new patients

Locations

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 14945-24 WI
Physical Therapist 225100000X 14945 WI
Physical Therapist 225100000X 12456 MN Yes

Addresses

Primary practice location

200 1St St SW
Rochester, MN 55905-0001

Mailing address

200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Other names

  • Jasleen K Guru Former name

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address jguru1602808@ehrdirect.mayoclinicmsg.org

Other providers in Rochester, MN

All providers in Rochester, MN · Physical Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.