Ethan Brinkmann

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1522 N Riverfront Dr
Mankato, MN 56001-0459

Phone

(218) 639-3449

NPI assigned

Oct 8, 2020

Sex

Male

Sole proprietor

Yes

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

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fairmont Orthopedics & Sports Medicine, PA

  • Specialist
  • Fairmont, MN
  • NPI 1134173644
  Medicare reassignment NPD
• Bodikey Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Mankato, MN
  • NPI 1043722481
  NPD

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1912504390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 N RIVERFRONT DR",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560010459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 N RIVERFRONT DR",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560010459",
            "telephone_number": "218-639-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINKMANN",
        "first_name": "ETHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Bresser, RN, BSN, PHN
• Sarah Breukelaar
• Amy L. Brien, MD
• Barbara Jeanne Brindle, MA, LPCC
• Chad Brinkman
• Deanna Marie Brinks, MD
• Ricky Brockberg
• Ashley Ann Brockhaus
• Alexis S Brockmoller
• Jessalyn Janae Broesder

• Physical Therapist in Mankato, MN
• Providers in Mankato, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.

Verify at the official NPI Registry.