Active NPI
Jeremy Zigler
- Physical Therapist
- Minnetonka, MN
National Provider Identifier
1861087801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11375
- Practice address
- 5900 Green Oak Dr
Minnetonka, MN 55343-4708 - Phone
- (952) 926-9808
- NPI assigned
- Mar 2, 2021
- Last updated
- Mar 2, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 11375 | MN | Primary |
Addresses
Primary practice location
5900 Green Oak Dr
Minnetonka, MN 55343-4708
Mailing address
5638 Sanibel Dr
Minnetonka, MN 55343-9430
Phone (651) 403-3158
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11375 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1861087801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5638 SANIBEL DR",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553439430",
"telephone_number": "651-403-3158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 GREEN OAK DR",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553434708",
"telephone_number": "952-926-9808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIGLER",
"first_name": "JEREMY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-02",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "11375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.