Active NPI
Justin Jacobsen
- Massage Therapist
- Bloomington, MN
National Provider Identifier
1104769934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 2501 W 84TH St
Bloomington, MN 55431-1599 - Phone
- (952) 885-5444
- NPI assigned
- Apr 14, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MN | Primary |
Addresses
Primary practice location
2501 W 84TH St
Bloomington, MN 55431-1599
Mailing address
2501 W 84TH St
Bloomington, MN 55431-1599
Phone (952) 885-5444
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Health Sciences University | Past | Accepting new patients | |
| Sweere Clinic LLC | Past | Accepting new patients |
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.
-
- Multi-Specialty Clinic/Center
- Bloomington, MN
- NPI 1124103544
-
- Clinic/Center
- Bloomington, MN
- NPI 1942778097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1104769934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 W 84TH ST",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554311599",
"telephone_number": "952-885-5444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 W 84TH ST",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554311599",
"telephone_number": "952-885-5444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSEN",
"first_name": "JUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-14",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.