Eric Matthew Jundt, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7330 Issued in MN

Practice address

146 Lake St N
Forest Lake, MN 55025-2518

Phone

(651) 464-8502

NPI assigned

Jan 16, 2012

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)

Enrolled

State licenses

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326672000000",
    "number": "1801167374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7551 9TH ST N",
            "address_2": "SUITE 100",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551286629",
            "telephone_number": "651-748-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 LAKE ST N",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252518",
            "telephone_number": "651-464-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNDT",
        "first_name": "ERIC",
        "middle_name": "MATTHEW",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-16",
        "last_updated": "2012-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "7330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Z Johnson, D.C.
• Beth Diane Jones, MA, LMFT
• Gregory Donald Jones, O.D.
• Nathaniel Lowell Joppa
• Jorja Jamison Counseling and Consulting LLC
• Julie Ann Kammer, MD
• Kari Clinic of Chiropractic, P.a.
• Mark W Kari, D.C.
• Jack Kasl, PH.D.
• Tammy Kasprowicz, PT

• Physical Therapist in Forest Lake, MN
• Providers in Forest Lake, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; 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.