Active NPI
Jennifer Lynn Fogarty, DPT
- Physical Therapist
- Cannon Falls, MN
National Provider Identifier
1649782137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7246
- Practice address
- 32021 Country 24 Boulevard
Cannon Falls, MN 55992 - Phone
- (507) 263-9758
- Fax
- (507) 263-9647
- NPI assigned
- Oct 25, 2017
- Last updated
- Oct 25, 2017
- Sex
- Female
- 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 | 7246 | MN | Primary |
Addresses
Primary practice location
32021 Country 24 Boulevard
Cannon Falls, MN 55992
Mailing address
720 Warren Ave
Zumbrota, MN 55992-1168
Phone (507) 951-5203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7246 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508889600000",
"number": "1649782137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 WARREN AVE",
"city": "ZUMBROTA",
"state": "MN",
"postal_code": "559921168",
"telephone_number": "507-951-5203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32021 COUNTRY 24 BOULEVARD",
"city": "CANNON FALLS",
"state": "MN",
"postal_code": "55992",
"telephone_number": "507-263-9758",
"fax_number": "507-263-9647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOGARTY",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-25",
"last_updated": "2017-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "7246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cannon Falls, MN
- City of Cannon Falls (Cannon Falls Ambulance)
- Compass Dental PA
- Fiona Ethel Demel, D.C.
- David G Detert, MD
- Fiona E. Fletcher D.C. LTD. (Body Works Clinic)
- Daniel Scott Freeman
- Erin Marie Friesenborg, CCP
- Glazon Group, Inc. (Cannon Country)
- Goodhue County Education District
- Heather Holen Grawe, MS, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.