Individual provider Active NPI

Andrew A Schotzko, P.T.

  • Physical Therapist
  • Marshall, MN
National Provider Identifier
1053365718
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
225100000X Issued in MN
Practice address
1420 E College Dr
Marshall, MN 56258-2065
Phone
(507) 532-3393
Fax
(507) 432-3343
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 225100000X MN Primary

Addresses

Primary practice location

1420 E College Dr
Marshall, MN 56258-2065

Mailing address

820 Roy St
Ortonville, MN 56278-1138
Phone (320) 839-4271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7180MNMDChiropractor
225100000XMNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Marshall CurrentSince Jun 17, 2019 Accepting new patients
Avera Marshall CurrentSince Jun 17, 2019 Accepting new patients
Avera Marshall Current Accepting new patients
Big Stone Therapies, Inc Physical Therapist Past Accepting new patients

Locations

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

1420 E College Dr
Ste 704
Marshall, MN 56258
Phone (507) 532-3392

Organizations & group practices 4

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1053365718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 ROY ST",
            "city": "ORTONVILLE",
            "state": "MN",
            "postal_code": "562781138",
            "telephone_number": "320-839-4271",
            "fax_number": "320-839-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 E COLLEGE DR",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582065",
            "telephone_number": "507-532-3393",
            "fax_number": "507-432-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOTZKO",
        "first_name": "ANDREW",
        "middle_name": "A",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "225100000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.