Individual provider Active NPI

Brandon Charles Voth, DPT

  • Orthopedic Physical Therapist
  • Lake City, MN
National Provider Identifier
1104228956
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

OrganizationSpecialtyStatusNew patients
Pursuitpt LLC Physical Therapist CurrentSince Mar 7, 2021 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.

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.

Verify at the official NPI Registry.