Active NPI
Andrew George Dockendorff, DPT
- Physical Therapist
- Sparta, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15849-24
- Practice address
- 310 West Main Street
Sparta, WI 54656-2170 - Phone
- (608) 785-0940
- NPI assigned
- Jun 12, 2022
- Last updated
- Sep 25, 2026
- 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 | 15849-24 | WI | Primary |
Addresses
Primary practice location
310 West Main Street
Sparta, WI 54656-2170
Mailing address
PO Box 860912
Provider Enrollment
Minneapolis, MN 55486-0912
Phone (507) 284-2511
Other practice location 1
3501 Park Lane Dr
LA Crosse, WI 54601-7747
Phone (608) 789-4800
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | adockendorff25861@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15849 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 15849-24 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Southwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Wisconsin Region, Inc. | Current | Accepting new patients |
Locations
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
3501 Park Lane Dr
La Crosse, WI 54601
Phone (608) 789-4800
800 E Blackhawk Ave
Prairie du Chien, WI 53821
Phone (608) 326-0808
310 W Main St
Sparta, WI 54656
Phone (608) 269-1700
Interoperability endpoints
- adockendorff25861@ehrdirect.mayoclinicmsg.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mayo Clinic Health System - La Crosse
- Multi-Specialty Clinic/Center
- La Crosse, WI
- NPI 1629056049
-
dba Mayo Clinic Health System - La Crosse
- Multi-Specialty Clinic/Center
- La Crosse, WI
- NPI 1942980917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790294400000",
"number": "1689304859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 860912",
"address_2": "PROVIDER ENROLLMENT",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554860912",
"telephone_number": "507-284-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 WEST MAIN STREET",
"city": "SPARTA",
"state": "WI",
"postal_code": "546562170",
"telephone_number": "608-785-0940"
}
],
"practiceLocations": [
{
"address_1": "3501 Park Lane Dr",
"address_purpose": "LOCATION",
"city": "LA Crosse",
"state": "WI",
"postal_code": "546017747",
"country_code": "US",
"telephone_number": "608-789-4800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOCKENDORFF",
"first_name": "ANDREW",
"middle_name": "GEORGE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-12",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "15849-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "adockendorff25861@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "310 West Main Street",
"city": "Sparta",
"state": "WI",
"country_code": "US",
"postal_code": "546562170",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sparta, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; 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.