Active NPI
Gunnar James Jesme, DPT
- Physical Therapy Clinic/Center
- Minneapolis, MN
National Provider Identifier
1245042415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 12878
- Practice address
- 3500 Pleasant Ave Apt 206
Minneapolis, MN 55408-4339 - Phone
- (218) 689-6561
- NPI assigned
- Jan 23, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Clinic/Center | 261QP2000X | 12878 | MN | Primary |
Addresses
Primary practice location
3500 Pleasant Ave Apt 206
Minneapolis, MN 55408-4339
Mailing address
3500 Pleasant Ave Apt 206
Minneapolis, MN 55408-4339
Phone (218) 689-6561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250204000885 | MN | Practitioner - Physical Therapist in Private Practice | 4789114927 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12878 | MN | MD | Physical Therapy Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1245042415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 PLEASANT AVE APT 206",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554084339",
"telephone_number": "218-689-6561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 PLEASANT AVE APT 206",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554084339",
"telephone_number": "218-689-6561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JESME",
"first_name": "GUNNAR",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-23",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "MN",
"license": "12878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.