Jesse Fuhrer, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6861 Issued in MN

Practice address

414 W Jefferson Ave
Mahnomen, MN 56557-4912

Phone

(763) 689-5385

NPI assigned

Sep 26, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1477654887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13140 150TH AVE SE",
            "city": "SAINT HILAIRE",
            "state": "MN",
            "postal_code": "567549777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W JEFFERSON AVE",
            "city": "MAHNOMEN",
            "state": "MN",
            "postal_code": "565574912",
            "telephone_number": "763-689-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUHRER",
        "first_name": "JESSE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "6861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "214P2FU",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "6405708",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP53868",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Breuer
• Devra Ann Carlson
• Dakota Clinic, LTD. (Dakota Clinic, Ltd. - Mahnomen)
• Nicole Dyrdahl, PHARM.D.
• Elizabeth Marie Engum, CNP
• Brenda Geray, RN
• Kristen Hemmingsen, NP
• Anne Huschle
• Hannah Jacobson
• Nicole Johnson, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.