Mitchell Bockenstedt, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

516 15TH Ave SE
Minneapolis, MN 55455-0130

Phone

(612) 625-2827

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609920834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 CARL ST",
            "address_2": "APARTMENT 5B",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081244",
            "telephone_number": "319-504-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 15TH AVE SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550130",
            "telephone_number": "612-625-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCKENSTEDT",
        "first_name": "MITCHELL",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Ann Bobick
• Olena Bocharnikov, RN
• Adam Neil Bock, MD
• Diego McKay Bock
• Kirsten Bock, AU.D
• Walter O Bockting, PHD
• Zachary Bodeau, LPCC, MA
• Lora Janelle Bodell
• Darcy Bodger, OTR/L
• Shruti Sanjay Bodhankar, M.B.B.S.

• Athletic Trainer in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.