Individual provider Active NPI

Noah McCarragher

  • Physical Therapist
  • Rochester, MN
National Provider Identifier
1164377057
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14261 Issued in MN
Practice address
3708 Broadway Ave N Ste 110
Rochester, MN 55906-4590
Phone
(507) 322-3460
Fax
(507) 322-3450
NPI assigned
Mar 4, 2026
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 14261 MN Primary
Physical Therapist 225100000X 5312 MN

Addresses

Primary practice location

3708 Broadway Ave N Ste 110
Rochester, MN 55906-4590

Mailing address

PO Box 7197
Rochester, MN 55903-7197
Phone (507) 322-3460

Other practice location 1

3020 Broadway Ave N
Rochester, MN 55906-3974
Phone (507) 322-3460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260318003182 MN Practitioner - Physical Therapist in Private Practice 9133603004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Activept, Corp.Group PAC ID 9931279932, 76 clinicians

Practice addresses (Care Compare)

3708 Broadway Ave N
Suite 110
Rochester, MN 55906-4159
Phone (507) 322-3460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14261MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Activept Corp CurrentSince Mar 5, 2026 Accepting new patients

Locations

3708 Highway 63 N
Ste 110
Rochester, MN 55906

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": "1772582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1164377057",
    "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": "3708 BROADWAY AVE N STE 110",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559064590",
            "telephone_number": "507-322-3460",
            "fax_number": "507-322-3450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3020 Broadway Ave N",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559063974",
            "country_code": "US",
            "telephone_number": "507-322-3460",
            "fax_number": "507-322-3450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARRAGHER",
        "first_name": "NOAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "14261",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "5312",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.