Brandon Boeck

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10415 Issued in MN

Practice address

1681 Commerce Dr
North Mankato, MN 56003-1913

Phone

(507) 625-8017

NPI assigned

Aug 8, 2016

Last updated

Mar 2, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

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)

Merit-based Incentive Payment System (MIPS)

Final score

92.09 of 100Reported as group

Quality

96.62

Improvement activities

40

Cost

79.84

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.

• Activept Corp

  • Physical Therapy Clinic/Center
  • Rochester, MN
  • NPI 1124205604
  Medicare reassignment Care Compare group NPD
• Pursuitpt LLC

  dba PursuitPT

  • Physical Therapy Clinic/Center
  • Crown Point, IN
  • NPI 1225623887

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1962956995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7551 9TH ST N",
            "address_2": "SUITE 100",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551286629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1681 COMMERCE DR",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "560031913",
            "telephone_number": "507-625-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOECK",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-08",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "10415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara T Beske, NP
• Kelsey Bigbee, RD
• Blair Inc (Medicine Shoppe)
• Nicole Ann Blake, RDH/DT
• Matt Blanshan, CPRS
• Hannah Joan Bradley, AUD
• Ashley Anne Bratsch, MS, CCC-SLP
• Austin Benjamin Braun, DDS
• Breaking Forth Counseling LLC
• Leah Rose Breit, MD

• Physical Therapist in North Mankato, MN
• Providers in North 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 Mar 2, 2022; 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.