Active NPI
Traill Alan Vosberg, MPT
- Physical Therapist
- Battle Lake, MN
National Provider Identifier
1336223577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4212
- Practice address
- 105 Glenhaven Drive
Battle Lake, MN 56515 - Phone
- (218) 864-8574
- Fax
- (218) 864-5498
- NPI assigned
- Oct 24, 2006
- Last updated
- Jul 30, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4212 | MN | Primary |
Addresses
Primary practice location
105 Glenhaven Drive
Battle Lake, MN 56515
Mailing address
105 Glenhaven Drive
Battle Lake, MN 56515
Phone (218) 864-8574
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4212 | MN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185753600000",
"number": "1336223577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 GLENHAVEN DRIVE",
"city": "BATTLE LAKE",
"state": "MN",
"postal_code": "56515",
"telephone_number": "218-864-8574",
"fax_number": "218-864-5498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 GLENHAVEN DRIVE",
"city": "BATTLE LAKE",
"state": "MN",
"postal_code": "56515",
"telephone_number": "218-864-8574",
"fax_number": "218-864-5498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOSBERG",
"first_name": "TRAILL",
"middle_name": "ALAN",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "4212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Battle Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.