Individual ProviderJill Marie KoerberPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address15800 95th Ave N, Maple Grove, MN 55369-4400(952) 993-1430PECOS EnrollmentBased on the most recent information from CMS, provider Jill Marie Koerber does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1417056052Provider TypeIndividualFull NameKoerber, Jill MarieCredentialP.T.GenderFemaleSole ProprietorNoEnumeration Date9/21/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address15800 95th Ave N, Maple Grove, MN 55369-4400Phone(952) 993-1430FaxUnlisted FaxMailing LocationMailing Address6465 Wayzata Blvd, Ste 315, St Louis Park, MN 55426-1728PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense5796MinnesotaCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense5088Wisconsin