JESSICA BLAISDELL (PT) – Physical Therapist, NPI 1679103840

Physical Therapist

JESSICA BLAISDELL (PT) is a healthcare provider. based in Little canada, Minnesota. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 11600 (MN). The NPI Number for JESSICA BLAISDELL (PT) is 1679103840

Main info

Female

7 Years Of Experience

Accepts Medicare Assignment

Name

JESSICA BLAISDELL (PT)

NPI

1679103840

Phone

(651) 756-7941

Address

75 VIKING DR W STE 101

Enumeration Date

16 January 2020

Last Update Date

31 August 2021

Doctor Profile

Medical School Name

OTHER

Secondary Phone

6517660080

Graduation Year

2019 (7 years ago)

PAC ID

6709207053

Group Practice PAC ID

6002917747

Professional Enrollment ID

I20200522001320

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience36

Completeness75

Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for JESSICA BLAISDELL (PT)

75 VIKING DR W STE 101
LITTLE CANADA, MN 551171778
Phone: (651) 756-7941
Type: Location
5759 BLAINE AVE
INVER GROVE HEIGHTS, MN 550761225
Phone: (651) 756-7941
Type: Location
270 72ND ST N
MAHTOMEDI, MN 551152079
Phone: (651) 497-6997
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55117)

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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: 6002917747View full group profile

Name	Specialty	State
PATTI TEACHOUT (OTR)	-	MN
MS. MEGAN KARI FROST (P.T.)	Physical Therapist In Private Practice	MN
TESS BETTIN (OTR/L)	-	MN
MADELYN JEAN DOWNING (PT, DPT)	Physical Therapist In Private Practice	MN