JESSE SCHEIDECKER (NPI# 1013301514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013301514 |
| Entity Type | Individual |
| Full Name | JESSE SCHEIDECKER |
| Practice Address |
14180 Commerce Ave Ne Prior Lake MN 55372-1483 |
| Practice Telephone | 9524473395 |
| Practice Fax Number | 9524473396 |
| Mailing Telephone | 9524473395 |
| Mailing Fax Number | 9524473396 |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2019-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 3481 | NV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
9889 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
14180 COMMERCE AVE NE |
| City | PRIOR LAKE |
| State | MN |
| Zip Code | 55372-1483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679601900 | Carina Patnode | Chiropractor | 14180 Commerce Ave Ne, Prior Lake, MN 55372-1483 | 2007-02-28 |
| 1558608109 | Kerri Sue Lockwood | Chiropractor | 14180 Commerce Ave Ne, Prior Lake, MN 55372-1483 | 2013-01-15 |
| 1306181995 | Tonielle Lynn Kelly | Chiropractor | 14180 Commerce Ave Ne, Prior Lake, MN 55372 | 2012-12-07 |
| 1972847812 | Beth Olson | Massage Therapist | 14180 Commerce Ave Ne, Prior Lake, MN 55372-1483 | 2012-11-15 |
| 1679872634 | Patti West | Massage Therapist | 14180 Commerce Ave Ne, Prior Lake, MN 55372-1483 | 2011-03-16 |
| 1073847554 | Eagle Creek Chiropractic | Physical Therapist | 14180 Commerce Ave Ne, Prior Lake, MN 55372-1483 | 2009-09-30 |
| 1366631244 | Eagle Creek Wellness Center LLC | Chiropractor | 14180 Commerce Ave Ne, Prior Lake, MN 55372-1483 | 2007-10-17 |
| 1821126152 | Lori Lubow | Physical Therapist | 14180 Commerce Ave Ne, Prior Lake, MN 55372-1483 | 2007-02-28 |
| 1043348402 | Deborah Genrick | Chiropractor | 14180 Commerce Ave Ne, Prior Lake, MN 55372-1483 | 2007-02-28 |
| 1073641304 | Alicia Ray | Physical Therapist | 14180 Commerce Ave Ne, Prior Lake, MN 55372-1483 | 2007-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043830995 | Abby Lynn Quinnell | Physician Assistant | 19455 Towering Oaks Trl, Prior Lake, MN 55372 | 2020-04-21 |
| 1659914547 | Touching Lives Community, Inc. | Assisted Living Facility | 5554 Woodside Road, Se, Prior Lake, MN 55372 | 2019-10-23 |
| 1366961542 | Doreen Lubi Isubikalu | Family Medicine | 2330 Sioux Trail Nw, Prior Lake, MN 55372 | 2017-09-19 |
| 1760909519 | Terese Marie Sovis | Massage Therapist | 15140 Green Oaks Trail, Prior Lake, MN 55372 | 2017-08-23 |
| 1689805301 | Laura Grace Patton | Physician Assistant | 4151 Willowwood Street Se, Prior Lake, MN 55372 | 2009-07-29 |
| 1952582702 | Lilah Suzan Ekim Dds, Ms. Pllc | Dentist | 16190 Erie Ave Se, Prior Lake, MN 55372 | 2007-11-21 |
| 1679618326 | Basile Orthodontics Pa | Dentist | 5116 Gateway Street Se #103, Suite #103, Prior Lake, MN 55372 | 2007-02-20 |
| 1700890134 | Shakopee Mdewakanton Emergency Services | Ambulance | 2525 Flandreau Trail, Prior Lake, MN 55372 | 2006-07-28 |
| 1548299167 | Darlene Merchant | Psychologist | 15815 Franklin Trail S.e., Suite 308 Darlene Merchant, M.a., L.p., Prior Lake, MN 55372 | 2006-07-03 |
| 1508806530 | Kelly Brooks | Nurse Anesthetist, Certified Registered | 3564 Willow Beach St Sw, Prior Lake, MN 55372 | 2006-06-07 |
| Find all providers in zip 55372 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063930493 | Thomas Broback | Physical Therapist | 14382 60th St N, Stillwater, MN 55082-6311 | 2017-09-06 |
| 1134667686 | Tiffany Moriarity | Physical Therapist | 13690 Rogers Dr Ste 180, Rogers, MN 55374-9309 | 2017-02-04 |
| 1437603016 | Mark Deschepper | Physical Therapist | 1600 University Ave W # 10, Saint Paul, MN 55104-3898 | 2016-08-11 |
| 1750757522 | Caleb Vizina | Physical Therapist | 1116 County Road 6 Sw, Howard Lake, MN 55349 | 2015-08-17 |
| 1467867010 | Andrea Price | Physical Therapist | 5775 Wayzata Blvd Ste 900, Saint Louis Park, MN 55416-2674 | 2014-06-23 |
| 1124431481 | John E Amundson | Physical Therapist | 410 30th Ave E Ste 102, Alexandria, MN 56308-4770 | 2014-06-04 |
| 1285975078 | Jacob Allen Wendland | Physical Therapist | 1304 W Lincoln Ave Ste C, Fergus Falls, MN 56537-4818 | 2013-03-05 |
| 1740524867 | Lisa Zeman | Physical Therapist | 8900 109th Ave N Ste 700, Champlin, MN 55316-3150 | 2012-11-15 |
| 1326309709 | Jacob Kretschmar | Physical Therapist | 13274 53rd St Ne, Spicer, MN 56288-9437 | 2012-06-02 |
| 1225279516 | Patricia F Knecht | Physical Therapist | 1560 Beam Ave Ste D, Maplewood, MN 55109-1171 | 2009-03-16 |
| Find all providers with the same taxonomy | ||||
| City | PRIOR LAKE |
| Zip Code | 55372 |
Please comment or provide details below to improve the information on JESSE SCHEIDECKER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.