Active NPI
Jenny Mohler, PT
- Physical Therapist
- Saint Cloud, MN
National Provider Identifier
1104238260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1740
- Practice address
- 2835 W Saint Germain St
Saint Cloud, MN 56301-6280 - Phone
- (320) 359-4151
- NPI assigned
- May 23, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1740 | SD | Primary |
Addresses
Primary practice location
2835 W Saint Germain St
Saint Cloud, MN 56301-6280
Mailing address
2835 W Germain St
Saint Cloud, MN 56301-6280
Phone (605) 670-0408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1740 | SD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1104238260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2835 W GERMAIN ST",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563016280",
"telephone_number": "605-670-0408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2835 W SAINT GERMAIN ST",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563016280",
"telephone_number": "320-359-4151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHLER",
"first_name": "JENNY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-23",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "1740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.