Jason Fernholz

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

1801 Willmar Ave SW
Willmar, MN 56201-2882

Phone

(320) 214-2700

NPI assigned

May 14, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1679322648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 GRANT AVE",
            "city": "KERKHOVEN",
            "state": "MN",
            "postal_code": "562529200",
            "telephone_number": "320-905-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 WILLMAR AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562012882",
            "telephone_number": "320-214-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNHOLZ",
        "first_name": "JASON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaedyn Fellenz
• Jaden Elizabeth Felling, PHARMD
• Jill Fellows, OTR/L
• Loretta J. Fenske, L.P.
• Christina B Ferdinand, PT
• Louise Annette Ferry, MA LAMFT
• Jessica Michelle Fick, LPCC
• Fischer Laser Eye Center LLC
• Cindy Jolene Fischer, RN C
• Jeffrey L Fischer, M.D.

• All providers in Willmar, MN
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.