Individual provider Active NPI

Ross B Van Natta, MSPT

  • Physical Therapist
  • Rochester, MN
National Provider Identifier
1609964782
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7251 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
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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 PT02693 RI
Physical Therapist 225100000X 7251 MN Primary

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

4229 W Frontage Rd N
Rochester, MN 55901-4310
Phone (507) 322-3460

Other practice location 2

1309 Salem Rd SW
Rochester, MN 55902-0993
Phone (507) 322-3460

Other practice location 3

3100 19th St NW Ste 200
Rochester, MN 55901-6606
Phone (507) 322-3460

Other identifiers 1

IdentifierTypeStateIssuer
610978100MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050630000242 MN Practitioner - Physical Therapist in Private Practice 8628014677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PT02693RIMDPhysical Therapist
7251MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Activept Corp CurrentSince Dec 23, 2025 Accepting new patients
Multicenter Physical Therapy, LLC Past Accepting new patients

Locations

1309 Salem Rd SW
Rochester, MN 55902
Phone (507) 701-1127

3708 N Broadway
Ste 110
Rochester, MN 55906

3100 19th St NW
Ste 200
Rochester, MN 55901

4229 W Frontage Rd N
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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1609964782",
    "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": "4229 W Frontage Rd N",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559014310",
            "country_code": "US",
            "telephone_number": "507-322-3460",
            "fax_number": "507-322-3450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1309 Salem Rd SW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559020993",
            "country_code": "US",
            "telephone_number": "507-322-3460",
            "fax_number": "507-322-3450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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": "507-322-3450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN NATTA",
        "first_name": "ROSS",
        "middle_name": "B",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT02693",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "7251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "610978100",
            "state": "MN"
        }
    ],
    "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 23, 2025; 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.