Active NPI
Jennifer Margaret Pearson, DPT
- Physical Therapist
- Shakopee, MN
National Provider Identifier
1366928301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1455 Saint Francis Ave
Shakopee, MN 55379-3374 - Phone
- (952) 428-2001
- NPI assigned
- Jul 12, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1455 Saint Francis Ave
Shakopee, MN 55379-3374
Mailing address
1425 Colorado Ave S Apt 208
Saint Louis Park, MN 55416-5093
Phone (161) 266-9647
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531353600000",
"number": "1366928301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 COLORADO AVE S APT 208",
"city": "SAINT LOUIS PARK",
"state": "MN",
"postal_code": "554165093",
"telephone_number": "161-266-9647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 SAINT FRANCIS AVE",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553793374",
"telephone_number": "952-428-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "JENNIFER",
"middle_name": "MARGARET",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-12",
"last_updated": "2018-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"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 12, 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.