Jennifer Danielle Bastian, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8193 Issued in MN

Practice address

1131 E Superior St
Suite 202
Duluth, MN 55802-2221

Phone

(218) 625-6300

Fax

(218) 724-6700

NPI assigned

Aug 26, 2008

Last updated

Aug 26, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Danielle Messinger Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1386891919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 E SUPERIOR ST",
            "address_2": "SUITE 202",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022221",
            "telephone_number": "218-625-6300",
            "fax_number": "218-724-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 E SUPERIOR ST",
            "address_2": "SUITE 202",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022221",
            "telephone_number": "218-625-6300",
            "fax_number": "218-724-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTIAN",
        "first_name": "JENNIFER",
        "middle_name": "DANIELLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "8193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MESSINGER",
            "middle_name": "DANIELLE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Margaret E Bartlett, APRN,CNP
• Arina Bartnicka
• Kelly Lynn Barton, LADC
• Madhuri Basak, RNC
• Haley Jo Bassett, OTR
• Misty June Bastian, OTR/L
• Karen Ms Bastianelli, PHARMD
• Christina H. Bastin Dejong, MD
• Kaitlyn Oline Batchelder, PT
• Kris Duane Bates, C.P.T., L.P.T.A.

• Physical Therapist in Duluth, MN
• Providers in Duluth, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.