Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jonathan Gogolakis, DPT

Individual provider Physical Therapist · NPI 1770319675

Dr. Jonathan Gogolakis, DPT is a Physical Therapist in Private Practice in Maple Grove, Minnesota. Graduated from University of Minnesota Medical School in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Minnesota.

Years since qualifying
2
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9505 Blackoaks Ln N
Maple Grove, MN 55311-1229
Phone: (763) 420-4111
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 13666 (MN)

Record details

NPI number1770319675
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedSeptember 9, 2024
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024
Mailing address5050 W 36th St Ste 100, St Louis Park, MN 55416-5470

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Maple Grove