Jacob Fixell, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12541 Issued in MN

Practice address

9505 Blackoaks LN N
Maple Grove, MN 55311-1229

Phone

(763) 691-4117

NPI assigned

Apr 12, 2022

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)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1881336469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9505 BLACKOAKS LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553111229",
            "telephone_number": "763-691-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9505 BLACKOAKS LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553111229",
            "telephone_number": "763-691-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIXELL",
        "first_name": "JACOB",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra M Fischer, PA-C
• Londa Lea Fischer, O.D.
• Morgan Fischer
• Edward J. Fisher, M.D.
• Sheryl Ann Fisher, MSW, LICSW
• Catrina Fjerstad, DPT
• Melinda Marie Fjosne, PT, DPT
• Sara Elizabeth Flaagan
• Charles Flahave
• Tiffany Flaten, M.S., LN, CNS

• Physical Therapist in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.