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

Jack Barber, PT, DPT

Individual provider Physical Therapist · NPI 1619552874

Jack Barber, PT, DPT is a Physical Therapist in Private Practice in Eagan, Minnesota. Qualified in 2020, 6 years ago. Practices with Summit Orthopedics, Ltd, a 280-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
6
Licensed in
MN, WI
In the registry since
2021
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2620 Eagan Woods Dr
Eagan, MN 55121-1138
Phone: (651) 968-5201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 12068 (MN)
Physical Therapist Taxonomy 225100000X · Licence 15180-24 (WI)

Record details

NPI number1619552874
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMarch 9, 2021
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026
Mailing address710 Commerce Dr Ste 200, Woodbury, MN 55125-4925

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Summit Orthopedics, Ltd — 280 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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