Activept Corp
Organization Active NPI Physical Therapy Clinic/Center · Rochester, MN
NPI 1124205604 · NPPES record last updated Mar 27, 2025
Key facts
- NPI
- 1124205604
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- ACTIVEPT CORP
- Practice address
- 3708 Hwy 63 N Ste 110
Rochester, MN 55906-4159 - Phone
- (507) 322-3460
- Fax
- (507) 322-3450
- NPI assigned
- Jan 27, 2008
- Organization subpart
- No
Authorized official
- Name
- Francine Marie Kovash
- Title
- Operations Assistant
- Phone
- (507) 322-3460
Practitioners 93
-
Jarrod W Brian, PT
-
Abigail Canton, DPT
-
Jessica T Feda, P.T.
-
Kaitlyn Kristine Fischer, PT,DPT, ATC
-
Samuel Clifford Fischer, PT, DPT, RMSK
-
Rhianna Hanson, DPT
-
Ashlee Harriman, DPT
-
Jake Donald Hoeppner, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080603000286 | MN | Part B Supplier - Clinic/Group Practice | 9931279932 |
Receives reassigned benefits from 88 practitioners Practice locations: Wabasha, MN; Stewartville, MN; Spring Valley, MN; Owatonna, MN; Shakopee, MN; Saint Charles, MN; Rochester, MN; Byron, MN… |
National Provider Directory
Locations (25 of 28)
1727 W Main St
Albert Lea, MN 56007
975 Somerby Pkwy NE
Ste 200
Byron, MN 55920
827 High Point Dr NE
Byron, MN 55920
Phone (507) 951-2234
1205 N 7th St
Lake City, MN 55041
1215 N 7th St
Ste 104
Lake City, MN 55041
507 W Doughty St
Lake City, MN 55041
Phone (651) 345-2350
1414 S Oak Ave
Ste 2
Owatonna, MN 55060
Phone (507) 451-8254
300 W Broadway
#1
Plainview, MN 55964
Phone (507) 421-1064
320 W Broadway
Ste 1
Plainview, MN 55964
Phone (877) 322-3460
133 Saint Paul St SW
Preston, MN 55965
3100 19th St NW
Ste 200
Rochester, MN 55901
2625 Highway 14 W
Ste Hij
Rochester, MN 55901
3020 Broadway Ave N
Rochester, MN 55906
3020 N Broadway
Rochester, MN 55906
4229 W Frontage Rd N
Rochester, MN 55901
3708 N Broadway
Ste 110
Rochester, MN 55906
1309 N Frontage Road Salem SW
Rochester, MN 55902
3265 19th St NW
Ste 240
Rochester, MN 55901
Phone (800) 287-0171
3708 Broadway Ave N
Ste 104
Rochester, MN 55906
925 Whitewater Ave
Saint Charles, MN 55972
925 Whitewater Ave
Ste 1
Saint Charles, MN 55972
1206 Shakopee Town Sq
Shakopee, MN 55379
1047 N Broadway St
Spring Valley, MN 55975
100 20th St NW
Ste 200
Stewartville, MN 55976
99 20th St NE
Ste 200
Stewartville, MN 55976
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
3708 Hwy 63 N Ste 110
Rochester, MN 55906-4159
Mailing address
PO Box 7197
Rochester, MN 55903-7197
Phone (800) 287-0171
Other practice location 1
1215 N 7th ST
Suite 104
Lake City, MN 55041
Phone (507) 322-3460
Other practice location 2
3265 19th St NW
Suite 240
Rochester, MN 55901
Phone (800) 287-0171
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17549500 | Medicaid | MN |
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All providers in Rochester, MN · Physical Therapy Clinic/Center in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.