Individual provider Active NPI

Jeffrey Kent Sletten, MPT

  • Physical Therapist
  • Rogers, MN
National Provider Identifier
1891934188
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6734 Issued in MN
Practice address
21395 John Milless Dr
Suite 600
Rogers, MN 55374-4402
Phone
(763) 428-2589
Fax
(763) 428-4672
NPI assigned
Feb 11, 2009
Last updated
May 21, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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 6734 MN Primary

Addresses

Primary practice location

21395 John Milless Dr
Suite 600
Rogers, MN 55374-4402

Mailing address

21395 John Milless Dr
Suite 600
Rogers, MN 55374-4402
Phone (763) 428-2589

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131217000127 MN Practitioner - Physical Therapist in Private Practice 0345401006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

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

16366 County Rd
Suite 30
Maple Grove, MN 55311-1207
Phone (763) 559-0356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6734MNMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Health Collaborative, PA Physical Therapist CurrentSince Mar 15, 2016 Accepting new patients
Novacare Outpatient Rehabilitation East Inc CurrentSince Aug 15, 2013 Accepting new patients
Novacare Outpatient Rehabilitation East Inc CurrentSince Aug 15, 2013 Accepting new patients
Novacare Outpatient Rehabilitation East Inc Physical Therapist Current Accepting new patients
Infinite Health Collaborative, PA CurrentSince Mar 15, 2016 Accepting new patients

Locations

3111 124th Ave NW
Ste 200
Coon Rapids, MN 55433
Phone (763) 427-7300

480 Osborne Rd NE
Ste 280
Fridley, MN 55432
Phone (763) 784-3155

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

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

21395 John Milless Dr
Ste 600
Rogers, MN 55374
Phone (763) 428-2589

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1891934188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21395 JOHN MILLESS DR",
            "address_2": "SUITE 600",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744402",
            "telephone_number": "763-428-2589",
            "fax_number": "763-428-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21395 JOHN MILLESS DR",
            "address_2": "SUITE 600",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744402",
            "telephone_number": "763-428-2589",
            "fax_number": "763-428-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLETTEN",
        "first_name": "JEFFREY",
        "middle_name": "KENT",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-11",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "6734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.