Jeremy O'Keefe

Key facts

NPI

1093371775

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

11541 (MN)

Practice address

2525 University Ave SE
Minneapolis, MN 55414-3205

Phone

(612) 672-7100

NPI assigned

May 17, 2019

Sex

Male

Sole proprietor

No

Organizations & group practices 8

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.

• Fairview Express Care Multi-Specialty Clinic/Center · Minneapolis, MN · NPI 1053952606
  Medicare reassignment NPD MN
• Fairview Health Services Emergency Medicine Physician · Minneapolis, MN · NPI 1811077175
  Medicare reassignment NPD MN
• Infinite Health Collaborative, PA Orthopaedic Surgery Physician · Bloomington, MN · NPI 1164474250
  Medicare reassignment NPD MN · PHYSICAL THERAPIST
• Fairview Express Care Medical Specialty Clinic/Center · Edina, MN · NPI 1538599790
  NPD
• Fairview Express Care General Practice Physician · Edina, MN · NPI 1831707207
  NPD
• Fairview Health Services General Acute Care Hospital · Minneapolis, MN · NPI 1013994359
  NPD
• Fairview Health Services Land Ambulance · Saint Paul, MN · NPI 1710212485
  NPD
• Infinite Health Collaborative, PA Durable Medical Equipment & Medical Supplies · Hudson, WI · NPI 1568840916
  NPD

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in MN

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 25, 2019.

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1093371775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 WHEATLAND CIR",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582017900",
            "telephone_number": "218-791-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 UNIVERSITY AVE SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554143205",
            "telephone_number": "612-672-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 Fulton St SE",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554554800",
            "country_code": "US",
            "telephone_number": "612-676-4569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Elm Creek Blvd N",
            "address_2": "Suite 120",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "55369",
            "country_code": "US",
            "telephone_number": "763-420-9960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Prairie Center Dr",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "553447328",
            "country_code": "US",
            "telephone_number": "952-944-5314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'KEEFE",
        "first_name": "JEREMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-17",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "11541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

• Jody O'Hara
• Kathleen Jill O'Hara
• Nora O'Hara
• Ashley Marie O'Hearn, MA, LPCC
• Erin O'Keefe, DPM
• Nicole Kelly O'Keefe, PSY.D.
• Patricia L O'Keefe, OTR
• Teresa O'Keefe
• Thomas Patrick O'Keefe
• Daniel Thomas O'Laughlin, M.D.

All providers in Minneapolis, MN · Physical Therapist in Minnesota