Active NPI
Jeffrey L. Foss, MSPT,ATC
- Physical Therapist
- Shakopee, MN
National Provider Identifier
1326102526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5181
- Practice address
- 1515 Saint Francis Ave Ste 140
Shakopee, MN 55379-4307 - Phone
- (952) 403-2011
- NPI assigned
- Dec 21, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5181 | MN | Primary |
Addresses
Primary practice location
1515 Saint Francis Ave Ste 140
Shakopee, MN 55379-4307
Mailing address
108 Carver Creek Cir
Carver, MN 55315-9510
Phone (952) 403-2001
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5181 | MN | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326102526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 CARVER CREEK CIR",
"city": "CARVER",
"state": "MN",
"postal_code": "553159510",
"telephone_number": "952-403-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 SAINT FRANCIS AVE STE 140",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553794307",
"telephone_number": "952-403-2011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSS",
"first_name": "JEFFREY",
"middle_name": "L.",
"name_prefix": "Mr.",
"credential": "MSPT,ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "5181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shakopee, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.