John A Gergen, PT, MBA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5477 Issued in MN

Practice address

19131 Taylor St NE
East Bethel, MN 55011-4422

Phone

(763) 392-5443

NPI assigned

May 6, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aegis Group Practice LLCGroup PAC ID 5193036432, 399 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

State licenses

Practice roles

Locations

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.

• Aegis Group Practice LLC

  • Physical Therapist
  • Fort Smith, AR
  • NPI 1417340126

  MN

  Medicare reassignment Care Compare group NPD
• Minnesota Luna Care Physical Therapy LLC

  • Physical Therapist
  • Saint Paul, MN
  • NPI 1780288134
  Medicare reassignment NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Indian Harbour Beach, FL
  • NPI 1932072030
  NPD

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1619926912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15856 LINNET ST NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553042686",
            "telephone_number": "763-221-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19131 TAYLOR ST NE",
            "city": "EAST BETHEL",
            "state": "MN",
            "postal_code": "550114422",
            "telephone_number": "763-392-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERGEN",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "PT, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "5477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049509300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aegis Group Practice LLC
• Lulzim Axhijaj
• Cambia Hills of East Bethel LLC
• Jennifer Cyr
• Grace Counseling Services
• Hue Home Health Care, LLC
• Tim Y Lee
• Seth J Marshall
• Nexus Family Healing

• Physical Therapist in East Bethel, MN
• Providers in East Bethel, 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 14, 2025; 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.

Verify at the official NPI Registry.