NPIMap

Individual provider Active NPI

John David Farr, PT

  • Physical Therapist
  • Roseville, MN
National Provider Identifier
1891754875
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5247 Issued in MN
Practice address
1935 County Road B2 W Ste 405
Roseville, MN 55113
Phone
(651) 635-0578
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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 5247 MN Primary

Addresses

Primary practice location

1935 County Road B2 W Ste 405
Roseville, MN 55113

Mailing address

1935 County Road B2 W Ste 405
Roseville, MN 55113-2797
Phone (651) 635-0578

Other practice location 1

8120 Penn Avenue South
Suite 480
Bloomington, MN 55431
Phone (952) 929-7000

Other practice location 2

8120 Penn Avenue South
Suite 480
Bloomington, MN 55431
Phone (952) 929-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191029001125 MN Practitioner - Physical Therapist in Private Practice 6608108428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novacare Outpatient Rehabilitation East, Inc. 493 clinicians

Practice addresses (Care Compare)

10091 Dogwood St NW
Coon Rapids, MN 55448-5273
Phone (763) 450-0298

1387 Phalen Blvd
Saint Paul, MN 55106-2126
Phone (952) 388-5520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5247MNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novacare Outpatient Rehabilitation East Inc CurrentSince Dec 28, 2019 Accepting new patients
Novacare Outpatient Rehabilitation East, Inc. CurrentSince Dec 28, 2019 Accepting new patients
Novacare Outpatient Rehabilitation East Inc Physical Therapist Current Accepting new patients
Bodyworks Physical Therapy Inc Past Accepting new patients

Locations

10091 Dogwood St NW
Minneapolis, MN 55448
Phone (763) 450-0298

1935 County Road B2 W
Ste 405
Saint Paul, MN 55113
Phone (612) 256-9903

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1891754875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 COUNTY ROAD B2 W STE 405",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132797",
            "telephone_number": "651-635-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 COUNTY ROAD B2 W STE 405",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "651-635-0578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8120 Penn Avenue South",
            "address_2": "Suite 480",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "55431",
            "country_code": "US",
            "telephone_number": "952-929-7000",
            "fax_number": "952-929-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8120 Penn Avenue South",
            "address_2": "Suite 480",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "55431",
            "country_code": "US",
            "telephone_number": "952-929-7000",
            "fax_number": "952-929-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARR",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "5247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.

Verify at the official NPI Registry.