Active NPI
Joshua Mattison
- Physical Therapist
- Rochester, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13468
- Practice address
- 4229 W Frontage Rd N
Rochester, MN 55901-4310 - Phone
- (507) 322-3460
- NPI assigned
- May 30, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13468 | MN | Primary |
Addresses
Primary practice location
4229 W Frontage Rd N
Rochester, MN 55901-4310
Mailing address
3100 19TH St NW Ste 200
Rochester, MN 55901-6606
Phone (507) 322-3460
Other practice location 1
133 St Paul St SW
Preston, MN 55965
Phone (507) 322-3460
Other practice location 2
3020 Broadway Ave N
Rochester, MN 55906-3974
Phone (507) 322-3460
Other practice location 3
3708 Broadway Ave N Ste 110
Rochester, MN 55906-4159
Phone (507) 322-3460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240612002795 | MN | Practitioner - Physical Therapist in Private Practice | 3173065588 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Activept, Corp.
Practice addresses (Care Compare)
3708 Broadway Ave N
Suite 110
Rochester, MN 55906-4159
Phone (507) 322-3460
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Activept Corp | Current | Accepting new patients | |
| Pursuitpt LLC | Physical Therapist | Past | Accepting new patients |
Locations
133 Saint Paul St SW
Preston, MN 55965
4229 W Frontage Rd N
Rochester, MN 55901
3020 Broadway Ave N
Rochester, MN 55906
3100 19th St NW
Ste 200
Rochester, MN 55901
3708 N Broadway
Ste 110
Rochester, MN 55906
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1013757764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 19TH ST NW STE 200",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559016606",
"telephone_number": "507-322-3460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4229 W FRONTAGE RD N",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559014310",
"telephone_number": "507-322-3460"
}
],
"practiceLocations": [
{
"address_1": "133 St Paul St SW",
"address_purpose": "LOCATION",
"city": "Preston",
"state": "MN",
"postal_code": "55965",
"country_code": "US",
"telephone_number": "507-322-3460",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3020 Broadway Ave N",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "559063974",
"country_code": "US",
"telephone_number": "507-322-3460",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3708 Broadway Ave N Ste 110",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "559064159",
"country_code": "US",
"telephone_number": "507-322-3460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATTISON",
"first_name": "JOSHUA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-30",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "13468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.