Jenna Brandt, DPT
Physical Therapist in Eagan, MN. Individual provider (NPI-1).
NPI number1679977607
StatusActive
Last updated in NPPESNov 9, 2016
Details
- NPI
- 1679977607
- Entity type
- Individual (NPI-1)
- Name
- Jenna Brandt
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 20, 2014
- Last updated
- Nov 9, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 9626 | MN | Yes |
Practice location
1440 Duckwood DrEagan, MN 55122-1451
Phone 651-406-8989
Mailing address
2450 Riverside AveMinneapolis, MN 55454-1450
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 93 Physical Therapist providers in Eagan · All 2,108 providers in Eagan
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