Active NPI
Jessica Ann Swink, DPT
- Physical Therapist
- Faribault, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11335
- Practice address
- 828 1St St NE
Faribault, MN 55021-5438 - Phone
- (612) 364-1901
- NPI assigned
- Nov 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60232224 | WA | |
| Physical Therapist | 225100000X | 11335 | MN | Primary |
Addresses
Primary practice location
828 1St St NE
Faribault, MN 55021-5438
Mailing address
1611 N Madison St
Tacoma, WA 98406-4709
Phone (360) 951-2387
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181126000252 | MN | Practitioner - Physical Therapist in Private Practice | 9537413935 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 Cannon Valley Dr
Suite A118
Northfield, MN 55057-1334
Phone (507) 646-9495
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60232224 | WA | MD | Physical Therapist |
| 11335 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Stone Therapies, Inc | Physical Therapist | Current | Accepting new patients |
| Odom Sports Medicine, P.a. | Current | Accepting new patients | |
| Big Stone Therapies Montague LLC | Physical Therapist | Past | Accepting new patients |
| Big Stone Therapies Baxter, LLC | Physical Therapist | Past | Accepting new patients |
| Legacy Primary Care PLLC | Past | 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
900 Cannon Valley Dr E
Ste A118
Northfield, MN 55057
Phone (507) 646-9495
900 Cannon Valley Dr E
Ste 118A
Northfield, MN 55057
500 Cross St
Big Stone Cty, SD 57216
Phone (605) 541-1140
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Big Stone City, SD
- NPI 1124044656
MN, Physical Therapist
-
- Sports Medicine (Family Medicine) Physician
- Eden Prairie, MN
- NPI 1275557886
MN
-
- Physical Therapy Clinic/Center
- Baxter, MN
- NPI 1194020669
Physical Therapist
-
- Physical Therapy Clinic/Center
- Montague, MI
- NPI 1073021093
Physical Therapist
-
- Adult Medicine Physician
- Grand Forks, ND
- NPI 1265277115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1467796607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 N MADISON ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984064709",
"telephone_number": "360-951-2387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "828 1ST ST NE",
"city": "FARIBAULT",
"state": "MN",
"postal_code": "550215438",
"telephone_number": "612-364-1901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWINK",
"first_name": "JESSICA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-10",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60232224",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "11335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Faribault, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.