Active NPI
Jennifer Gigliotti
- Physical Therapist
- Hibbing, MN
National Provider Identifier
1780017590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9291
- Practice address
- 1500 3Rd Ave E
Hibbing, MN 55746-1462 - Phone
- (218) 231-8139
- NPI assigned
- Aug 15, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12106-24 | WI | |
| Physical Therapist | 225100000X | 9291 | MN | Primary |
Addresses
Primary practice location
1500 3Rd Ave E
Hibbing, MN 55746-1462
Mailing address
500 Cross St
Big Stone City, SD 57216-8237
Phone (605) 541-1140
Other practice location 1
724 Maple Grove Rd
Duluth, MN 55811-4521
Phone (218) 724-4900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12106-24 | WI | MD | Physical Therapist |
| 9291 | MN | MD | Physician Assistant |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640736000000",
"number": "1780017590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 CROSS ST",
"city": "BIG STONE CITY",
"state": "SD",
"postal_code": "572168237",
"telephone_number": "605-541-1140",
"fax_number": "605-541-0109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 3RD AVE E",
"city": "HIBBING",
"state": "MN",
"postal_code": "557461462",
"telephone_number": "218-231-8139"
}
],
"practiceLocations": [
{
"address_1": "724 Maple Grove Rd",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "MN",
"postal_code": "558114521",
"country_code": "US",
"telephone_number": "218-724-4900",
"fax_number": "833-657-0283",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIGLIOTTI",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-15",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "12106-24",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "9291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hibbing, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.