Individual provider Active NPI

Jennifer Young Kendall Thomas, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Minneapolis, MN
National Provider Identifier
1801061098
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
55175 Issued in MN
Practice address
715 S 8TH St
Minneapolis, MN 55404-7530
Phone
(612) 873-6963
Fax
(952) 905-5697
NPI assigned
Apr 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 5101017476 MI
Physical Medicine & Rehabilitation Physician 208100000X 55175 MN Primary

Addresses

Primary practice location

715 S 8TH St
Minneapolis, MN 55404-7530

Mailing address

701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-6963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120912000533 MN Practitioner - Physical Medicine and RehabilitationPractitioner - Osteopathic Manipulative MedicinePractitioner - Other (Physician) 7012185911 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Osteopathic Manipulative Medicine
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1346 W Arrowhead Rd
Suite 329
Duluth, MN 55811-2218

1421 Wayzata Blvd
Suite 303
Wayzata, MN 55391-4107

3125 120TH CT NE
Blaine, MN 55449-2500

Hospital & facility affiliations

  • Hennepin County Medical Center Hospital, Minneapolis, MN, CCN 240004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101017476MIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hennepin Healthcare System, Inc Current Accepting new patients
Fairview Clinics CurrentSince Mar 15, 2020 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Health Services CurrentSince Apr 1, 2019 Accepting new patients
Fairview Clinics CurrentSince Mar 15, 2020 Accepting new patients
Fairview Express Care CurrentSince Mar 1, 2022 Accepting new patients
Healtheast St. John'S Hospital CurrentSince Mar 15, 2020 Accepting new patients
Hennepin Healthcare System Inc CurrentSince Feb 7, 2025 Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Bethesda Hospital CurrentSince Mar 15, 2020 Accepting new patients
Healtheast Medical Research Institute CurrentSince Mar 8, 2022 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Health Services CurrentSince Apr 1, 2019 Accepting new patients
Healtheast Medical Research Institute CurrentSince Mar 8, 2022 Accepting new patients
Healtheast Care System CurrentSince Mar 15, 2020 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Hennepin Healthcare System, Inc CurrentSince Feb 7, 2025 Accepting new patients
Fairview Express Care CurrentSince Mar 1, 2022 Accepting new patients
Hennepin Faculty Associates Past Accepting new patients

Locations

201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

1747 Beam Ave
Ste 100
Maplewood, MN 55109
Phone (651) 232-3900

715 S 8th St
Minneapolis, MN 55404
Phone (612) 873-6010

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

2849 Johnson St NE
Minneapolis, MN 55418
Phone (612) 672-1900

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000

1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1801061098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151623",
            "telephone_number": "612-873-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S 8TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554047530",
            "telephone_number": "612-873-6963",
            "fax_number": "952-905-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JENNIFER",
        "middle_name": "YOUNG KENDALL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5101017476",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MN",
            "license": "55175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.