Active NPI
Jason Burgart, D.P.T.
- Physical Therapist
- Minneapolis, MN
National Provider Identifier
1508030412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7691
- Practice address
- Boynton Health Service
410 Church Street SE
Minneapolis, MN 55455 - Phone
- (612) 625-8400
- Fax
- (612) 677-3211
- NPI assigned
- Apr 22, 2008
- 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 | 7691 | MN | Primary |
Addresses
Primary practice location
Boynton Health Service
410 Church Street SE
Minneapolis, MN 55455
Mailing address
Boynton Health Service
410 Church Street SE
Minneapolis, MN 55455
Phone (612) 625-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151112002116 | MN | Practitioner - Physical Therapist in Private Practice | 2961712427 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7691 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Minnesota | Current | Accepting new patients | |
| Regents of the University of Minnesota | Current | Accepting new patients | |
| Regents of the University of Minnesota | Current | Accepting new patients |
Locations
410 Church St SE
Minneapolis, MN 55455
Phone (612) 625-8400
410 Church St SE
#W235
Minneapolis, MN 55455
Organizations & group practices 3
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.
-
- Student Health Clinic/Center
- Minneapolis, MN
- NPI 1013137355
-
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1114019858
-
- Clinic Pharmacy
- Minneapolis, MN
- NPI 1528288875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1508030412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOYNTON HEALTH SERVICE",
"address_2": "410 CHURCH STREET SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55455",
"telephone_number": "612-625-8400",
"fax_number": "612-677-3211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BOYNTON HEALTH SERVICE",
"address_2": "410 CHURCH STREET SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55455",
"telephone_number": "612-625-8400",
"fax_number": "612-677-3211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGART",
"first_name": "JASON",
"name_prefix": "Dr.",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-22",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "7691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.