Jalyn Robinson, PT
Individual provider Active NPI Physical Therapist · Hallock, MN
NPI 1295514016 · NPPES record last updated Sep 26, 2023
Key facts
- NPI
- 1295514016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 13316 (MN)
- Practice address
- 1010 S Birch Ave
Hallock, MN 56728-4215 - Phone
- (218) 843-3612
- NPI assigned
- Sep 22, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Odom Sports Medicine PA
Practice addresses (Care Compare)
6545 Flying Cloud Dr
Suite 201
Eden Prairie, MN 55344-3356
Phone (952) 224-1919
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240122001651 | MN | Practitioner - Physical Therapist in Private Practice | 5395197750 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13316 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Odom Sports Medicine, P.a. | Current |
Accepting new patients |
Locations
6545 Flying Cloud Dr
Ste 201
Eden Prairie, MN 55344
Phone (612) 364-1901
10653 Wayzata Blvd
Ste 200
Minnetonka, MN 55305
Phone (612) 364-1901
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13316 | MN | Yes |
Addresses
Primary practice location
1010 S Birch Ave
Hallock, MN 56728-4215
Mailing address
1010 S Birch Ave
Hallock, MN 56728-4215
Phone (701) 360-0899
Other providers in Hallock, MN
- Kittson Memorial Hospital Association
- Kittson Memorial Hospital Association
- Roland Roy Larter
- McAllen Rutz Eye Clinic PA
- Amanda Jean Pinnock
- Duane P Rutz
- James E Surdy
- Leanne Beth Truedson
- Karen Jean Warner
- Savannah Danielle Wateland
All providers in Hallock, MN · Physical Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.