IndividualActive
Jake Portinga, MED
NPI 1336076413 · Sports Physical Therapist · Chaska, MN
Provider details
- NPI number
- 1336076413
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MED
- Sex
- Male
- Sole proprietor
- No
Mailing address
5828 Meadow Lake Rd W
New Hope, MN 55428-3169
Registry dates
- Enumerated
- 2026-05-05
- Last updated
- 2026-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.