Active NPI
Sydney N Johnson, PT
- Physical Therapist
- Rochester, MN
National Provider Identifier
1801515937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13396
- Practice address
- 200 1St St SW
Rochester, MN 55905-0001 - Phone
- (507) 284-2511
- NPI assigned
- Aug 23, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2555 | ND | |
| Physical Therapist | 225100000X | 13396 | MN | Primary |
Addresses
Primary practice location
200 1St St SW
Rochester, MN 55905-0001
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Other practice location 1
102 W Beaton Dr Ste 105
West Fargo, ND 58078-2653
Phone (701) 205-4095
Other practice location 2
3491 University Dr S
Fargo, ND 58104-6225
Phone (701) 922-9288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2555 | Medicaid | ND |
Other names 1
- Sydney Fischer
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sfischer2081326@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, MN
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2555 | ND | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic | Current | Accepting new patients | |
| Mayo Clinic | Current | Accepting new patients | |
| Mayo Clinic | Current | Accepting new patients | |
| Great Kids Therapy, LTD. | Past | Accepting new patients |
Locations
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Rochester, MN
- NPI 1922074434
-
- Occupational Therapist
- Fargo, ND
- NPI 1558743013
-
- Clinical Medical Laboratory
- Rochester, MN
- NPI 1083249577
-
- Multi-Specialty Clinic/Center
- Rochester, MN
- NPI 1881018208
-
- Occupational Therapist
- Fargo, ND
- NPI 1497805196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1801515937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050001",
"telephone_number": "507-284-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050001",
"telephone_number": "507-284-2511"
}
],
"practiceLocations": [
{
"address_1": "102 W Beaton Dr Ste 105",
"address_purpose": "LOCATION",
"city": "West Fargo",
"state": "ND",
"postal_code": "580782653",
"country_code": "US",
"telephone_number": "701-205-4095",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3491 University Dr S",
"address_purpose": "LOCATION",
"city": "Fargo",
"state": "ND",
"postal_code": "581046225",
"country_code": "US",
"telephone_number": "701-922-9288",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "SYDNEY",
"middle_name": "N",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-23",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "2555",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "13396",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2555",
"state": "ND"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sfischer2081326@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "200 1st St SW",
"city": "Rochester",
"state": "MN",
"country_code": "US",
"postal_code": "559050001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SYDNEY",
"last_name": "FISCHER",
"code": "1",
"type": "Former Name"
}
]
}
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 Feb 28, 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.