MR. ALAN JAY DETTMER (PT) – Physical Therapist, NPI 1962479436

MR. ALAN JAY DETTMER (PT) is a healthcare provider. based in Grand rapids, Minnesota. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 7152 (MN). The NPI Number for MR. ALAN JAY DETTMER (PT) is 1962479436

Main info

Male
Sole Proprietor
Name
MR. ALAN JAY DETTMER (PT)
NPI
1962479436
Phone
(218) 259-2143
Address
102 DONOVAN DR
Enumeration Date
3 March 2006
Last Update Date
14 February 2014
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

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Provider Addresses for MR. ALAN JAY DETTMER (PT)

  • 102, Donovan Drive, Grand Rapids, Itasca County, Minnesota, 55744, United States

    GRAND RAPIDS, MN 55744

    Phone: (218) 259-2143

    Type: Mailing

  • 102, Donovan Drive, North Star Moblie Home Park, Grand Rapids, Itasca County, Minnesota, 55744, United States

    GRAND RAPIDS, MN 55744

    Phone: (218) 259-2143

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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)

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.

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

Insurance plans in this area (ZIP 55744)

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Reviews

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Frequently asked questions

Can I verify MR. ALAN JAY DETTMER (PT) with an NPI only?
You can start verification with NPI 1962479436 for MR. ALAN JAY DETTMER (PT), then check state licensing separately.
Does CMS list MR. ALAN JAY DETTMER (PT) as active?
Yes — MR. ALAN JAY DETTMER (PT) is active in the NPI listing used on this page.
What is MR. ALAN JAY DETTMER (PT) best known for clinically?
Directory data describes MR. ALAN JAY DETTMER (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Does MR. ALAN JAY DETTMER (PT) list a practice location?
Patients near Grand Rapids, Minnesota may find MR. ALAN JAY DETTMER (PT) in results; validate coverage separately.
Why does MR. ALAN JAY DETTMER (PT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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