Individual provider Active NPI

Kaylen Anne Margotta, DPT

  • Physical Therapist
  • Rochester, MN
National Provider Identifier
1962014878
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10805 Issued in MN
Practice address
3100 19TH St NW Ste 200
Rochester, MN 55901-6606
Phone
(507) 322-3460
NPI assigned
Aug 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10805 MN Primary

Addresses

Primary practice location

3100 19TH St NW Ste 200
Rochester, MN 55901-6606

Mailing address

200 1St St SW
Rochester, MN 55905-0002
Phone (507) 284-2511

Other names 1

  • Kaylen Anne Christensen Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@activeptandsports.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200930000344 MN Practitioner - Physical Therapist in Private Practice 1355760059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
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)

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

Merit-based Incentive Payment System (MIPS)

Final score
92.09 of 100Reported as group
Quality
96.62
Improvement activities
40
Cost
79.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10805MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Activept Corp CurrentSince Sep 20, 2021 Accepting new patients
Pursuitpt LLC Physical Therapist PastSince Mar 7, 2021 Accepting new patients

Locations

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

3100 19th St NW
Ste 200
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": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1962014878",
    "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": "559050002",
            "telephone_number": "507-284-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 19TH ST NW STE 200",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016606",
            "telephone_number": "507-322-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGOTTA",
        "first_name": "KAYLEN",
        "middle_name": "ANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-21",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "10805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@activeptandsports.com",
            "affiliation": "N",
            "address_1": "3100 19th St NW Ste 200",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559016606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAYLEN",
            "last_name": "CHRISTENSEN",
            "middle_name": "ANNE",
            "credential": "PT",
            "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 Oct 13, 2021; 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.