Individual provider Active NPI

Emma Florence Jarocki

  • Physical Therapist
  • Saint Cloud, MN
National Provider Identifier
1982272696
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12190 Issued in MN
Practice address
109 Doctors Park
Saint Cloud, MN 56303-1207
Phone
(320) 774-1908
Fax
(320) 774-2034
NPI assigned
Jun 17, 2021
Last updated
Jun 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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 12190 MN Primary

Addresses

Primary practice location

109 Doctors Park
Saint Cloud, MN 56303-1207

Mailing address

109 Doctors Park
Saint Cloud, MN 56303-1207
Phone (320) 774-1908

Other practice location 1

19437 Evans St NW
Elk River, MN 55330-1074
Phone (763) 515-3532

Other practice location 2

108 Doctors Park
Saint Cloud, MN 56303-1207
Phone (320) 774-3915

Other practice location 3

7938 College Rd
Baxter, MN 56425-8636
Phone (320) 774-1908

Other practice location 4

205 14th Ave E
Sartell, MN 56377-4500
Phone (320) 774-3436

Other practice location 5

9201 Old Cedar Ave S
Bloomington, MN 55425-2401
Phone (952) 854-1800

Other practice location 6

59 Glenn Rd NW
Alexandria, MN 56308-4007
Phone (320) 219-7644

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211110002968 MN Practitioner - Physical Therapist in Private Practice 7911396007 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Cloud HospitalGroup PAC ID 4880594779, 215 clinicians
Centracare ClinicGroup PAC ID 2466363395, 800 clinicians

Practice addresses (Care Compare)

110 2ND St S
Suite 104
Waite Park, MN 56387-1367
Phone (320) 259-9375

1406 6TH Ave N
Saint Cloud, MN 56303-1900
Phone (320) 251-2700

1564 Cty Rd
Suite 134
St Cloud, MN 56303-0346
Phone (320) 229-4950

1900 Centracare Cir
Saint Cloud, MN 56303-5000
Phone (320) 654-3630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12190MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centracare Clinic Current Accepting new patients
St. Cloud Hospital Current Accepting new patients
Northway Academy, Inc. Current Accepting new patients
Northway Academy, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Centracare Clinic CurrentSince Dec 1, 2022 Accepting new patients
Centracare Clinic CurrentSince Dec 1, 2022 Accepting new patients
St. Cloud Hospital CurrentSince Dec 1, 2022 Accepting new patients
Northway Academy, Inc. CurrentSince Nov 1, 2021 Accepting new patients
St. Cloud Hospital CurrentSince Dec 1, 2022 Accepting new patients
Northway Academy, Inc. PastSince Aug 23, 2020 Accepting new patients
Northway Academy, Inc. Past Accepting new patients

Locations

7938 College Rd
Baxter, MN 56425
Phone (218) 270-2918

9201 Old Cedar Ave S
Bloomington, MN 55425
Phone (952) 854-1800

19437 Evans St NW
Elk River, MN 55330
Phone (763) 515-3532

108 Doctors Park
Saint Cloud, MN 56303
Phone (320) 774-3915

109 Doctors Park
Saint Cloud, MN 56303
Phone (320) 253-3637

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

205 14th Ave E
Sartell, MN 56377
Phone (320) 774-3436

110 2nd St S
Ste 104
Waite Park, MN 56387
Phone (320) 259-9375

Organizations & group practices 11

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": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1982272696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 DOCTORS PARK",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031207",
            "telephone_number": "320-774-1908",
            "fax_number": "320-774-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 DOCTORS PARK",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031207",
            "telephone_number": "320-774-1908",
            "fax_number": "320-774-2034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19437 Evans St NW",
            "address_purpose": "LOCATION",
            "city": "Elk River",
            "state": "MN",
            "postal_code": "553301074",
            "country_code": "US",
            "telephone_number": "763-515-3532",
            "fax_number": "763-515-6282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 Doctors Park",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563031207",
            "country_code": "US",
            "telephone_number": "320-774-3915",
            "fax_number": "320-774-3918",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7938 College Rd",
            "address_purpose": "LOCATION",
            "city": "Baxter",
            "state": "MN",
            "postal_code": "564258636",
            "country_code": "US",
            "telephone_number": "320-774-1908",
            "fax_number": "320-774-2034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 14th Ave E",
            "address_purpose": "LOCATION",
            "city": "Sartell",
            "state": "MN",
            "postal_code": "563774500",
            "country_code": "US",
            "telephone_number": "320-774-3436",
            "fax_number": "320-774-3440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9201 Old Cedar Ave S",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554252401",
            "country_code": "US",
            "telephone_number": "952-854-1800",
            "fax_number": "952-854-5502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "59 Glenn Rd NW",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "MN",
            "postal_code": "563084007",
            "country_code": "US",
            "telephone_number": "320-219-7644",
            "fax_number": "320-219-7818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAROCKI",
        "first_name": "EMMA",
        "middle_name": "FLORENCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.