Active NPI
Brittney Ann Pohto
- Athletic Trainer
- White Bear Lake, MN
National Provider Identifier
1063002491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 3609
- Practice address
- 1925 10TH St
White Bear Lake, MN 55110-6637 - Phone
- (651) 315-4105
- NPI assigned
- Jan 20, 2021
- Last updated
- Dec 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | 3609 | MN | Primary |
Addresses
Primary practice location
1925 10TH St
White Bear Lake, MN 55110-6637
Mailing address
1925 10TH St
White Bear Lake, MN 55110-6637
Phone (651) 315-4105
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671667200000",
"number": "1063002491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 10TH ST",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551106637",
"telephone_number": "651-315-4105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 10TH ST",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551106637",
"telephone_number": "651-315-4105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POHTO",
"first_name": "BRITTNEY",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-20",
"last_updated": "2022-12-22",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MN",
"license": "3609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Bear Lake, MN
- Phoenix Residence, Inc.
- PHS-White Bear Lake LLC (Harbor Crossing)
- Paige Pinnow
- Javier Pinon Jr.
- Paolo Emil Puno-Mandapat Pinto
- James Polucha, PHARM.D
- Brittani Amber Marie Porter, LPCC, LADC
- Post Acute Pharmacy Consulting
- Zachary Vincent Post, DC
- Premise Health of Minnesota Medical PC (Pipe Trades Services MN Family Health & Wellness Centers)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.