Individual provider Active NPI

Jacob Joseph Haws, DPT

  • Physical Therapist
  • Brooklyn Park, MN
National Provider Identifier
1811263551
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8858 Issued in MN
Practice address
5601 96TH Ave N Ste 100
Brooklyn Park, MN 55443-4505
Phone
(763) 786-9543
Fax
(763) 786-3320
NPI assigned
Mar 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8858 MN Primary

Addresses

Primary practice location

5601 96TH Ave N Ste 100
Brooklyn Park, MN 55443-4505

Mailing address

4200 Dahlberg Dr Ste 300
Golden Valley, MN 55422-4841
Phone (952) 512-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120625000449 MN Practitioner - Physical Therapist in Private Practice 3577728567 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infinite Health Collaborative, PAGroup PAC ID 1052225042, 815 clinicians

Practice addresses (Care Compare)

3111 124TH Ave NW
Suite 200
Coon Rapids, MN 55433-4573
Phone (763) 427-7300

5601 96TH Ave N
Brooklyn Park, MN 55443-4505
Phone (763) 786-9543

Merit-based Incentive Payment System (MIPS)

Final score
91.79 of 100Reported as group
Quality
95.08
Improvement activities
40
Cost
81.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8858MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care CurrentSince Mar 1, 2020 Accepting new patients
Fairview Health Services CurrentSince Apr 1, 2012 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Express Care CurrentSince Mar 1, 2020 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Oct 24, 2022 Accepting new patients
Fairview Express Care Current Accepting new patients
Infinite Health Collaborative, PA Physical Therapist CurrentSince Oct 24, 2022 Accepting new patients

Locations

15650 Cedar Ave
Ste 160
Apple Valley, MN 55124
Phone (952) 997-4170

5601 96th Ave N
Ste 100
Brooklyn Park, MN 55443
Phone (763) 786-9543

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

12000 Elm Creek Blvd N
Ste 120
Maple Grove, MN 55369
Phone (763) 420-9960

14500 99th Ave N
Maple Grove, MN 55369
Phone (763) 898-1000

10000 Zane Ave N
Minneapolis, MN 55443
Phone (763) 528-6999

4200 Dahlberg Dr
Ste 300
Minneapolis, MN 55422
Phone (952) 512-5600

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

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

2805 Campus Dr
Ste 115
Plymouth, MN 55441
Phone (763) 551-9511

2600 39th Ave NE
Ste 220
Saint Anthony, MN 55421
Phone (612) 672-7100

Organizations & group practices 8

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": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1811263551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 DAHLBERG DR STE 300",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224841",
            "telephone_number": "952-512-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 96TH AVE N STE 100",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554434505",
            "telephone_number": "763-786-9543",
            "fax_number": "763-786-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWS",
        "first_name": "JACOB",
        "middle_name": "JOSEPH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-27",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "8858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.