DR. JORDAN RHAE LUNDBERG DPT
NPI 1114603677
Physical Therapist - Orthopedic in Minneapolis, MN

Q: 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.

Q: What is Jordan Lundberg's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: 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.

Active since June 27, 2023Accepts Medicare Assignment

2001 BLAISDELL AVE, MINNEAPOLIS, MN 55404(952) 993-8000 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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

NPI1114603677

Entity TypeIndividualFemale

Primary Taxonomy2251X0800X

Provider Legal NameDR. JORDAN RHAE LUNDBERGCredential: DPT

Location Address2001 BLAISDELL AVEMinneapolis, MN 55404-2414

Mailing Address224 W Faribault StDuluth, MN 55803-1729 · (218) 841-7092

Phone(952) 993-8000

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJune 27, 2023

NPPES CertifiedJune 27, 2023

✔ NPI 1114603677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in MN · 13111

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

2001 BLAISDELL AVE, Minneapolis, MN 55404

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID6002276284

PECOS Enrollment IDI20230719003050

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.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

189 services41 patients

Evaluation for physical therapy, typically 20 minutes 97161

An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.

21 services21 patients

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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.

RACHEL ANN FELICIANO MD

Family Medicine