Active NPI
Jennifer L. Sorvari-Hedlund, P.T.
- Physical Therapist
- Duluth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10973
- Practice address
- 2701 W Superior St Ste 112
Duluth, MN 55806-1885 - Phone
- (218) 727-1180
- NPI assigned
- May 15, 2009
- Last updated
- Apr 19, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11235-024 | WI | |
| Physical Therapist | 225100000X | 10973 | MN | Primary |
Addresses
Primary practice location
2701 W Superior St Ste 112
Duluth, MN 55806-1885
Mailing address
2701 W Superior St Ste 112
Duluth, MN 55806-1885
Phone (218) 727-1180
Other practice location 1
4000 N Providence Ave
Appleton, WI 54913-8018
Phone (920) 257-2005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215162565 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2701 W Superior St
Suite 112
Duluth, MN 55806-1885
Phone (218) 727-1180
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11235 | WI | MD | Dental Hygienist |
| 11235-024 | WI | MD | Physical Therapist |
| 10973 | MN | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Partners, Inc. | Physical Therapist | Current | Accepting new patients |
| Therapy Partners Inc | Physical Therapist | Current | Accepting new patients |
Locations
2701 W Superior St
Ste 112
Duluth, MN 55806
Phone (218) 727-1180
4316 Rice Lake Rd
Ste 107
Duluth, MN 55811
Phone (218) 727-1180
1939 Minnehaha Ave W
Ste 300
Saint Paul, MN 55104
1700 Tower Dr W
Stillwater, MN 55082
Phone (651) 275-4706
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Saint Paul, MN
- NPI 1407809494
Physical Therapist
-
- Physical Therapist
- Forest Lake, MN
- NPI 1821179607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524096000000",
"number": "1215162565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 W SUPERIOR ST STE 112",
"city": "DULUTH",
"state": "MN",
"postal_code": "558061885",
"telephone_number": "218-727-1180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 W SUPERIOR ST STE 112",
"city": "DULUTH",
"state": "MN",
"postal_code": "558061885",
"telephone_number": "218-727-1180"
}
],
"practiceLocations": [
{
"address_1": "4000 N PROVIDENCE AVE",
"address_purpose": "LOCATION",
"city": "APPLETON",
"state": "WI",
"postal_code": "549138018",
"country_code": "US",
"telephone_number": "920-257-2005",
"fax_number": "920-257-2004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SORVARI-HEDLUND",
"first_name": "JENNIFER",
"middle_name": "L.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-15",
"last_updated": "2018-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "11235-024",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "10973",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1215162565",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.