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Jessica Blaisdell, PT

NPI 1679103840ActiveIndividual· Physical Therapist· Little Canada, MN

Physical Therapist (PT) in Little Canada, Minnesota, licensed in MN, with an NPI issued in January 2020.

Overview

NPI1679103840
StatusActive
Entity typeIndividual
CredentialPT
Sole proprietorNo
NPI issuedJan 16, 2020
Last updated in NPPESAug 31, 2021
Certified by providerApr 10, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X11600MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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