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

Individual provider Physical Therapist · NPI 1619492006

Jonathan Heimdal, DPT is a Physical Therapist in Private Practice in Edina, Minnesota. Qualified in 2017, 9 years ago. Practices with Interventional Spine and Pain Physicians PA, a 43-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

7700 France Ave S Ste 240
Edina, MN 55435-5878
Phone: (763) 201-8191
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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 10761 (MN)

Record details

NPI number1619492006
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 7, 2017
Last updated in NPPESMay 13, 2021
Certification dateMay 13, 2021
Mailing address9645 Grove Cir N Ste 200, Maple Grove, MN 55369-2684

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 Interventional Spine And Pain Physicians Pa — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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