Jordan Rhae Lundberg, DPT
NPI 1114603677ActiveIndividual· Physical Therapist, Orthopedic· Minneapolis, MN
Physical Therapist, Orthopedic (DPT) with Tria Orthopaedic Center LLC, practicing in Minneapolis, Minnesota. Medicare paid $6,205 for services to 41 patients in 2024.
Overview
| NPI | 1114603677 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | Yes |
| NPI issued | Jun 27, 2023 |
| Last updated in NPPES | Jun 27, 2023 |
| Certified by provider | Jun 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Orthopedic Primary | 2251X0800X | 13111 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 41 |
|---|---|
| Services billed | 263 across 10 procedure codes |
| Paid by Medicare | $6,205 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Tria Orthopaedic Center LLCWoodbury, MN · 515 clinicians
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