Active NPI
Jennifer L Schalekamp, PT
- Physical Therapist
- Breckenridge, MN
National Provider Identifier
1194158006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9317
- Practice address
- 430 5TH St N
Breckenridge, MN 56520 - Phone
- (218) 641-7725
- Fax
- (218) 641-6625
- NPI assigned
- Aug 14, 2013
- 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 | 9317 | MN | Primary |
Addresses
Primary practice location
430 5TH St N
Breckenridge, MN 56520
Mailing address
430 5TH St N
Breckenridge, MN 56520-1426
Phone (218) 641-7725
Other practice location 1
322 N Tower Rd
Fergus Falls, MN 56537-1015
Phone (218) 998-2980
Other names 1
- Jennifer L Carlson
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Makovicka Harms Group, PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Makovicka Physical Therapy
- Physical Therapist
- Papillion, NE
- NPI 1093077000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532390400000",
"number": "1194158006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 5TH ST N",
"city": "BRECKENRIDGE",
"state": "MN",
"postal_code": "565201426",
"telephone_number": "218-641-7725",
"fax_number": "218-641-6625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 5TH ST N",
"city": "BRECKENRIDGE",
"state": "MN",
"postal_code": "56520",
"telephone_number": "218-641-7725",
"fax_number": "218-641-6625"
}
],
"practiceLocations": [
{
"address_1": "322 N Tower Rd",
"address_purpose": "LOCATION",
"city": "Fergus Falls",
"state": "MN",
"postal_code": "565371015",
"country_code": "US",
"telephone_number": "218-998-2980",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHALEKAMP",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-14",
"last_updated": "2018-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "9317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "CARLSON",
"middle_name": "L",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Breckenridge, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.