Katelyn Anne Voll, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12037 Issued in MN

Practice address

3501 8TH St S
Moorhead, MN 56560-5155

Phone

(218) 422-3343

NPI assigned

Apr 17, 2021

Last updated

Oct 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Katelyn Anne Elkins Former name

Medicare fee-for-service enrollment

Enrolled in ND, MN2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Myna Therapy Services PLLC

  • Multi-Specialty Clinic/Center
  • Fargo, ND
  • NPI 1427788629

  Physical Therapist

  Medicare reassignment NPD
• JC Chiropractic, P.C.

  • Chiropractor
  • Chula Vista, CA
  • NPI 1083110274
  NPD (past)
• Myna Early Intervention LLC

  • Early Intervention Provider Agency
  • Fargo, ND
  • NPI 1639981343
  NPD (past)
• Total Balance Dietitian, LLC

  • Registered Dietitian
  • Fargo, ND
  • NPI 1255190534
  NPD (past)

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

{
    "created_epoch": "1618617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1922689371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 36TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565607131",
            "telephone_number": "218-242-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 8TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605155",
            "telephone_number": "218-422-3343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1582 W San Marcos Blvd Ste 105B",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920784081",
            "country_code": "US",
            "telephone_number": "650-452-4110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOLL",
        "first_name": "KATELYN",
        "middle_name": "ANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "2766",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299697",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "ELKINS",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in Moorhead, MN
• Providers in Moorhead, 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 17, 2023; 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.