Individual provider Active NPI

Joshua Fingerman, PT

  • Physical Therapist
  • Edina, MN
National Provider Identifier
1083004303
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT30031 Issued in FL
Practice address
5646 Interlachen Cir
Edina, MN 55436-1332
Phone
(917) 545-8454
Fax
(855) 932-4833
NPI assigned
Jan 24, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT30031 FL Primary

Addresses

Primary practice location

5646 Interlachen Cir
Edina, MN 55436-1332

Mailing address

5646 Interlachen Cir
Edina, MN 55436-1332
Phone (917) 545-8454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190128003354 MN Practitioner - Physical Therapist in Private Practice 8527305630 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5646 Interlachen Cir
Minneapolis, MN 55436-1332
Phone (917) 545-8454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT30031FLMDPhysical Therapist
11028MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mobilerehabmn Physical Therapist CurrentSince Mar 9, 2020 Accepting new patients
Odom Sports Medicine, P.a. CurrentSince Jan 4, 2022 Accepting new patients
Lelwica Chiropractic Physical Therapist Past Accepting new patients

Locations

6545 Flying Cloud Dr
Ste 201
Eden Prairie, MN 55344
Phone (612) 364-1901

10653 Wayzata Blvd
Ste 200
Minnetonka, MN 55305
Phone (612) 364-1901

Organizations & group practices 3

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": "1422057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1083004303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5646 INTERLACHEN CIR",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554361332",
            "telephone_number": "917-545-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5646 INTERLACHEN CIR",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554361332",
            "telephone_number": "917-545-8454",
            "fax_number": "855-932-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINGERMAN",
        "first_name": "JOSHUA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT30031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.