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

Jessica Johnson, MPT

Individual provider Physical Therapist · NPI 1275800021

Jessica Johnson, MPT is a Physical Therapist in Private Practice in Moose Lake, Minnesota. Qualified in 2004, 22 years ago. Practices with Therapy Partners Inc, a 136-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
22
Licensed in
MN
In the registry since
2011
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

4791 County Road 10 Ste 102
Moose Lake, MN 55767-9221
Phone: (218) 485-2020
Fax: (218) 485-2044
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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 7519 (MN)

Record details

NPI number1275800021
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPT
Sole proprietorNo
NPI enumeratedNovember 22, 2011
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025
Mailing address1939 Minnehaha Ave W Ste 300, Saint Paul, MN 55104-1033

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Therapy Partners Inc — 136 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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