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

Jordan J Moen, DPT, OCS

Individual provider Physical Therapist · NPI 1083991558

Jordan J Moen, DPT, OCS is a Physical Therapist in Private Practice in Mankato, Minnesota. Qualified in 2011, 15 years ago. Practices with Mayo Clinic Health System-Southwest Minnesota Region, a 667-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
15
Licensed in
MN
In the registry since
2011
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

1400 Madison Ave Ste 100AA
Mankato, MN 56001-5465
Phone: (507) 385-2600
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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 8819 (MN)

Record details

NPI number1083991558
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , OCS
Sole proprietorNo
NPI enumeratedNovember 10, 2011
Last updated in NPPESFebruary 3, 2021
Certification dateFebruary 3, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Mayo Clinic Health System-Southwest Minnesota Region — 667 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mankato