Individual provider Active NPI

Nicholas Jay Pratt, D.C.

  • Chiropractor
  • Rochester, MN
National Provider Identifier
1346502416
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5643 Issued in MN
Practice address
2766 Commerce Dr NW
Suite C
Rochester, MN 55901-2588
Phone
(507) 258-4100
Fax
(507) 258-4101
NPI assigned
Jun 13, 2012
Last updated
Apr 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5643 MN Primary

Addresses

Primary practice location

2766 Commerce Dr NW
Suite C
Rochester, MN 55901-2588

Mailing address

2766 Commerce Dr NW
Suite C
Rochester, MN 55901-2588
Phone (507) 258-4100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121004000862 MN Practitioner - Chiropractic 8729237821 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Family Chiropractic LLC Chiropractor CurrentSince Jul 13, 2012 Accepting new patients

Locations

2766 Commerce Dr NW
Ste C
Rochester, MN 55901
Phone (507) 257-4100

Interoperability endpoints

  • Direct secure messaging: nicholas.pratt.1@31026.direct.athenahealth.com

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": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1346502416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2766 COMMERCE DR NW",
            "address_2": "SUITE C",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012588",
            "telephone_number": "507-258-4100",
            "fax_number": "507-258-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2766 COMMERCE DR NW",
            "address_2": "SUITE C",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012588",
            "telephone_number": "507-258-4100",
            "fax_number": "507-258-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "NICHOLAS",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-13",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5643",
            "primary": true
        }
    ],
    "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 Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.