Individual provider Active NPI

Jordan Jaklic

  • Physical Therapist
  • Rochester, MN
National Provider Identifier
1083445076
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13637 Issued in MN
Practice address
4229 W Frontage Rd N
Rochester, MN 55901-4310
Phone
(507) 322-3460
NPI assigned
Aug 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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 13637 MN Primary

Addresses

Primary practice location

4229 W Frontage Rd N
Rochester, MN 55901-4310

Mailing address

PO Box 7197
Rochester, MN 55903-7197

Other practice location 1

3708 Broadway Ave N Ste 110
Rochester, MN 55906-4159
Phone (507) 322-3460

Other practice location 2

1681 Commerce Dr
North Mankato, MN 56003-1913
Phone (507) 322-3460

Other practice location 3

1414 S Oak Ave Ste 2
Owatonna, MN 55060-3957
Phone (507) 451-8254

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240827002128 MN Practitioner - Physical Therapist in Private Practice 2769921329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Duke University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Activept, Corp.Group PAC ID 9931279932, 76 clinicians

Practice addresses (Care Compare)

3708 Broadway Ave N
Suite 110
Rochester, MN 55906-4159
Phone (507) 322-3460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Activept Corp CurrentSince Aug 9, 2024 Accepting new patients
Pursuitpt LLC Physical Therapist CurrentSince Aug 18, 2024 Accepting new patients

Locations

1681 Commerce Dr
North Mankato, MN 56003
Phone (507) 625-8017

1414 S Oak Ave
Ste 2
Owatonna, MN 55060
Phone (507) 451-8254

3100 19th St NW
Ste 200
Rochester, MN 55901

3708 N Broadway
Ste 110
Rochester, MN 55906

4229 W Frontage Rd N
Rochester, MN 55901

Organizations & group practices 2

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": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1083445076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7197",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559037197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 W FRONTAGE RD N",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559014310",
            "telephone_number": "507-322-3460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3708 Broadway Ave N Ste 110",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559064159",
            "country_code": "US",
            "telephone_number": "507-322-3460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1681 Commerce Dr",
            "address_purpose": "LOCATION",
            "city": "North Mankato",
            "state": "MN",
            "postal_code": "560031913",
            "country_code": "US",
            "telephone_number": "507-322-3460",
            "fax_number": "507-322-3450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1414 S Oak Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Owatonna",
            "state": "MN",
            "postal_code": "550603957",
            "country_code": "US",
            "telephone_number": "507-451-8254",
            "fax_number": "507-322-3450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAKLIC",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "13637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.