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

Jacob Nienow, DPT

Individual provider Physical Therapist · NPI 1073054995

Jacob Nienow, DPT is a Physical Therapist in Private Practice in Mankato, Minnesota. Qualified in 2017, 9 years ago. Practices with Mankato Clinic Ltd, a 242-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2017
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1230 E Main St
Mankato, MN 56001-5066
Phone: (507) 625-1811
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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 10689 (MN)

Record details

NPI number1073054995
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 10, 2017
Last updated in NPPESJune 21, 2017
Mailing address1230 E Main St, Mankato, MN 56001-5066

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Mankato Clinic Ltd — 242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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