Individual provider Active NPI

Jennifer Steiner

  • Physical Therapist
  • West St Paul, MN
National Provider Identifier
1588773147
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7014 Issued in MN
Practice address
60 Marie Ave E Ste 203
West St Paul, MN 55118-5932
Phone
(651) 451-6156
NPI assigned
Aug 29, 2006
Last updated
Jan 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 7014 MN Primary

Addresses

Primary practice location

60 Marie Ave E Ste 203
West St Paul, MN 55118-5932

Mailing address

5444 Colfax Ave S
Minneapolis, MN 55419-1744
Phone (612) 801-9776

Other identifiers 1

IdentifierTypeStateIssuer
7014OtherMNLICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200716001760 MN Practitioner - Physical Therapist in Private Practice 4789837220 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10109MAMDMental Health Counselor
7014MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Novacare Outpatient Rehabilitation East Inc CurrentSince Jun 1, 2020 Accepting new patients
Novacare Outpatient Rehabilitation East Inc CurrentSince Jun 1, 2020 Accepting new patients
Novacare Outpatient Rehabilitation East Inc Physical Therapist Current Accepting new patients
Select Physical Therapy Holdings Inc PastSince Jan 12, 2025 Accepting new patients
Sports Medicine Inc. Physical Therapist PastSince May 24, 1999 Accepting new patients

Locations

480 Osborne Rd NE
Ste 280
Fridley, MN 55432
Phone (763) 784-3155

10091 Dogwood St NW
Minneapolis, MN 55448
Phone (763) 450-0298

1385 Phalen Blvd
Saint Paul, MN 55106
Phone (512) 866-1812

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1588773147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5444 COLFAX AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191744",
            "telephone_number": "612-801-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MARIE AVE E STE 203",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551185932",
            "telephone_number": "651-451-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINER",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "7014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "7014",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West St Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.

Verify at the official NPI Registry.