Jacob Lonnie Erbes, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10816 Issued in MN

Practice address

430 5TH St N
Breckenridge, MN 56520-1426

Phone

(218) 641-7725

Fax

(218) 641-6625

NPI assigned

Aug 11, 2017

Last updated

Dec 13, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1861917742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17067 COUNTY ROAD 8",
            "city": "COLFAX",
            "state": "ND",
            "postal_code": "580189637",
            "telephone_number": "701-640-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 5TH ST N",
            "city": "BRECKENRIDGE",
            "state": "MN",
            "postal_code": "565201426",
            "telephone_number": "218-641-7725",
            "fax_number": "218-641-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERBES",
        "first_name": "JACOB",
        "middle_name": "LONNIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-11",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MN",
            "license": "10816",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "10816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1472442",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather A Cooper
• County of Wilkin (Wilkin County Public Health)
• Danielle Maureen Defries, LPN
• Jesse Differding
• Rebecca Susan Dockter, PT
• Karissa Jo Etten, RN
• Bridget Marie Forst, LICSW
• Sara Faye Francois, MA, CF-SLP
• Joni Cora Lynn Frolek
• GCR Inc (Snyders Drug)

• Physical Therapist in Breckenridge, MN
• Providers in Breckenridge, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.