DR. JORDAN RHAE LUNDBERG DPT
NPI 1114603677
Physical Therapist - Orthopedic in Minneapolis, MN
About Dr. Jordan Rhae Lundberg Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JORDAN RHAE LUNDBERG DPT (NPI 1114603677) is an individual orthopedic provider in Minneapolis, Minnesota, licensed in Minnesota (13111) and active in the NPI registry since June 2023. She is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jordan Rhae Lundberg Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Jordan Lundberg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55403
- Reassigned Medicare billing, Minnesota enrollment
- 2,527 clinicians in this Medicare group
Bloomington, MN 55431
- Reassigned Medicare billing, Minnesota enrollment
- 693 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jordan Lundberg's NPI number?
The NPI number for Jordan Lundberg is 1114603677. It was assigned to this individual provider in the NPPES registry on June 27, 2023.
Where is Jordan Lundberg located?
Jordan Lundberg practices at 2001 Blaisdell Ave, Minneapolis, MN 55404. The listed phone number is (952) 993-8000.
What is Jordan Lundberg's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Jordan Lundberg enrolled in Medicare?
Yes. Jordan Lundberg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jordan Lundberg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Lundberg reassigns Medicare benefits to 2 organizations: Park Nicollet Clinic (Minneapolis, MN) and Tria Orthopaedic Center LLC (Bloomington, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jordan Lundberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jordan Lundberg was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Jordan Rhae Lundberg, DPT · NPI 1114603677
Orthopedic provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since June 27, 2023.
## Identity
- **NPI:** 1114603677 (Entity type: Individual)
- **Enumerated:** June 27, 2023
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **State license:** 13111 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2001 BLAISDELL AVE, Minneapolis, MN 55404-2414
- **Phone:** (952) 993-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Park Nicollet Clinic (NPI 1912315144, Minneapolis, MN); Tria Orthopaedic Center LLC (NPI 1346624384, Bloomington, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** June 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1114603677) · Data from the CMS NPPES public registry.