Active NPI
Brandon Charles Voth, DPT
- Orthopedic Physical Therapist
- Lake City, MN
National Provider Identifier
1104228956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 9469
- Practice address
- 500 W Grant St
Lake City, MN 55041-1143 - Phone
- (651) 345-3321
- NPI assigned
- Sep 24, 2014
- Last updated
- Oct 26, 2020
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 9469 | Primary |
Addresses
Primary practice location
500 W Grant St
Lake City, MN 55041-1143
Mailing address
PO Box 7197
Rochester, MN 55903-7197
Phone (507) 322-3460
Other practice location 1
16550 W 78th St
Suite #B
Eden Prairie, MN 55346-4315
Phone (952) 873-7400
Other practice location 2
3100 19th St NW Ste 200
Rochester, MN 55901
Phone (507) 322-3460
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bvoth88170@ehrdirect.mayoclinicmsg.org |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pursuitpt LLC | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba PursuitPT
- Physical Therapy Clinic/Center
- Crown Point, IN
- NPI 1225623887
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1104228956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7197",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559037197",
"telephone_number": "507-322-3460",
"fax_number": "507-322-3450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W GRANT ST",
"city": "LAKE CITY",
"state": "MN",
"postal_code": "550411143",
"telephone_number": "651-345-3321"
}
],
"practiceLocations": [
{
"address_1": "16550 W 78th St",
"address_2": "Suite #B",
"address_purpose": "LOCATION",
"city": "Eden Prairie",
"state": "MN",
"postal_code": "553464315",
"country_code": "US",
"telephone_number": "952-873-7400",
"fax_number": "952-873-7408",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3100 19th St NW Ste 200",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "55901",
"country_code": "US",
"telephone_number": "507-322-3460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VOTH",
"first_name": "BRANDON",
"middle_name": "CHARLES",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-24",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": "9469",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bvoth88170@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "500 W Grant St",
"city": "Lake City",
"state": "MN",
"country_code": "US",
"postal_code": "550411143",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lake City, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.