Active NPI
Alyssa Boben, DPT
- Orthopedic Physical Therapist
- Rochester, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 10796
- Practice address
- 1309 Salem Rd SW
Rochester, MN 55902-0993 - Phone
- (507) 322-3460
- NPI assigned
- Jun 8, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 10796 | MN | Primary |
Addresses
Primary practice location
1309 Salem Rd SW
Rochester, MN 55902-0993
Mailing address
PO Box 7197
Rochester, MN 55903-7197
Phone (507) 322-3460
Other practice location 1
3100 19th St NW Ste 200
Rochester, MN 55901-6606
Phone (507) 322-3460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
375 Hickory St
Saint Paul, MN 55115-1712
PO Box
Suite 7197
Rochester, MN 55903-7197
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.09 of 100
- Quality
- 96.62
- Improvement activities
- 40
- Cost
- 79.84
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10796 | MN | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Activept Corp | Current | Accepting new patients | |
| Pursuitpt LLC | Orthopedic | Past | Accepting new patients |
Locations
300 W Broadway
#1
Plainview, MN 55964
Phone (507) 421-1064
1309 Salem Rd SW
Rochester, MN 55902
Phone (507) 701-1127
3100 19th St NW
Ste 200
Rochester, MN 55901
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Rochester, MN
- NPI 1124205604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1477082840",
"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": "1309 SALEM RD SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559020993",
"telephone_number": "507-322-3460"
}
],
"practiceLocations": [
{
"address_1": "3100 19th St NW Ste 200",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "559016606",
"country_code": "US",
"telephone_number": "507-322-3460",
"fax_number": "507-322-3460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOBEN",
"first_name": "ALYSSA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-08",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MN",
"license": "10796",
"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 Dec 16, 2024; 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.