Jacqueline Rebecca Aufderhar, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6219 Issued in MN

Practice address

1570 Beam Ave
Markham Pond Professional Building Suite 200
Maplewood, MN 55109-1166

Phone

(651) 232-7820

Fax

(651) 232-7832

NPI assigned

Nov 15, 2012

Sex

Female

Sole proprietor

No

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.

• Fairview Express Care

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1053952606

  MN

  Medicare reassignment Care Compare group NPD
• Healtheast Outpatient Services, LLC

  • Physical Therapist
  • Saint Paul, MN
  • NPI 1225382526

  MN, Physical Therapist

  Medicare reassignment NPD
• Fairview Express Care

  • General Practice Physician
  • Edina, MN
  • NPI 1831707207
  Care Compare group NPD
• Fairview Specialty Services

  • Clinic/Center
  • Minneapolis, MN
  • NPI 1588543862

  MN

  Medicare reassignment
• Fairview Express Care

  • Cardiovascular Disease Physician
  • Minneapolis, MN
  • NPI 1629224258
  Care Compare group
• Fairview Express Care

  • Eyewear Supplier
  • Eagan, MN
  • NPI 1750833562
  Care Compare group
• Fairview Express Care

  • Eyewear Supplier
  • Brooklyn Park, MN
  • NPI 1841472644
  Care Compare group
• Fairview Express Care

  • Eyewear Supplier
  • Andover, MN
  • NPI 1861674665
  Care Compare group
• Fairview Express Care

  • Eyewear Supplier
  • Fridley, MN
  • NPI 1942482740
  Care Compare group
• Fairview Express Care

  • Clinic/Center
  • Hudson, WI
  • NPI 1467159210
  Care Compare group
• Fairview Express Care

  • General Practice Physician
  • Saint Paul, MN
  • NPI 1346722675
  NPD

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fairview Express Care 1,946 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.63 of 100Reported as group

Quality

75.41

Promoting interoperability

100

Improvement activities

40

Cost

75.75

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 15, 2012.

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1659615698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 BEAM AVE",
            "address_2": "MARKHAM POND PROFESSIONAL BUILDING SUITE 200",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091166",
            "telephone_number": "651-232-7820",
            "fax_number": "651-232-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 BEAM AVE",
            "address_2": "MARKHAM POND PROFESSIONAL BUILDING SUITE 200",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091166",
            "telephone_number": "651-232-7820",
            "fax_number": "651-232-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUFDERHAR",
        "first_name": "JACQUELINE",
        "middle_name": "REBECCA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "6219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Korry Arndt-Wenger, LPCC
• Jennifer Arnold, PHARMD
• Associated Dialysis Consultants LLC
• Associated Nephrology Consultants, P.a.
• Assured Kare Consultation Inc.
• Bradley E Austin, D.D.S.
• Autism Institute of Minnesota LLP
• Avalon Ramsey
• Sara M Avery-Babel, CCC-SLP
• Bagdade and Associates, LLC

• All providers in Maplewood, MN
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.