Active NPI
Jessica Heiden, DPT
- Physical Therapist
- Minneapolis, MN
National Provider Identifier
1851939169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11350
- Practice address
- 3541 Lyndale Ave S
Minneapolis, MN 55408-4159 - Phone
- (612) 824-1829
- NPI assigned
- Dec 17, 2019
- Last updated
- Dec 17, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11350 | MN | Primary |
Addresses
Primary practice location
3541 Lyndale Ave S
Minneapolis, MN 55408-4159
Mailing address
307 W 15TH St Apt 41
Minneapolis, MN 55403-2268
Phone (608) 498-5622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Minnetonka, MN 55305
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services MN LLC | Physical Therapist | Current | Accepting new patients |
| Dr Moses S M Smith Chiropractic LLC | Current | Accepting new patients | |
| Lucky Cat Acupuncture and Herbal Medicine | Past | Accepting new patients |
Locations
3541 Lyndale Ave S
Minneapolis, MN 55408
Phone (612) 824-1829
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Minnetonka, MN
- NPI 1356802862
-
- Acupuncturist
- Minneapolis, MN
- NPI 1295038008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576540800000",
"number": "1851939169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 W 15TH ST APT 41",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554032268",
"telephone_number": "608-498-5622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3541 LYNDALE AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554084159",
"telephone_number": "612-824-1829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIDEN",
"first_name": "JESSICA",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-17",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "11350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.