JENNIFER KATHRYN NELSON (PT) – Orthopedic Physical Therapist, NPI 1174581755

JENNIFER KATHRYN NELSON (PT) is a healthcare provider. based in Woodbury, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 8072 (MN). The NPI Number for JENNIFER KATHRYN NELSON (PT) is 1174581755

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER KATHRYN NELSON (PT)
NPI
1174581755
Phone
(651) 968-5042
Address
710 COMMERCE DR STE 200
Enumeration Date
3 May 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6519685201
Graduation Year
2005 (21 years ago)
PAC ID
0547354201
Group Practice PAC ID
8921900374
Professional Enrollment ID
I20080818000679
Address ID
MN551211138EA2620XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,108 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

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Provider Addresses for JENNIFER KATHRYN NELSON (PT)

  • Commerce Drive, Woodbury, Washington County, Minnesota, 55129, United States

    WOODBURY, MN 551254925

    Phone: (651) 968-5042

    Fax: (651) 968-5904

    Type: Mailing

  • Eagan Woods Drive, Eagan, Dakota County, Minnesota, 55121, United States

    EAGAN, MN 551211138

    Phone: (651) 968-5201

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-08-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080818000679IPhysical Therapist In Private PracticeMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes64766$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes17731$0
97140Therapy procedure using manual technique, each 15 minutes11827$0
97530Therapy procedure using functional activities7820$0
97535Training for self-care or home management, each 15 minutes5121$0
View full utilization report →

Insurance plans in this area (ZIP 55125)

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Provider's Procedures

JENNIFER KATHRYN NELSON (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMN97001Physical therapy evaluation3434
PHYSICAL THERAPYMN97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes18447

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921900374View full group profile
NameSpecialtyState
-MN
-MN
-MN
Orthopedic Surgery, Sports MedicineMN
-MN
Physical Therapist In Private PracticeMN
-MN
-MN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN

Reviews

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Frequently asked questions

How do payers reference JENNIFER KATHRYN NELSON (PT)?
For JENNIFER KATHRYN NELSON (PT), use NPI 1174581755 as the unique 10-digit identifier.
Is JENNIFER KATHRYN NELSON (PT) still an active registrant?
JENNIFER KATHRYN NELSON (PT) carries an active NPI according to the public dataset.
What kind of doctor is JENNIFER KATHRYN NELSON (PT)?
JENNIFER KATHRYN NELSON (PT) is associated with Orthopedic Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is JENNIFER KATHRYN NELSON (PT) associated with Woodbury?
Public fields place JENNIFER KATHRYN NELSON (PT) around Woodbury, Minnesota. Always confirm the exact site before visiting.
Can I trust this NPI listing for JENNIFER KATHRYN NELSON (PT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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