JOSHUA MATTISON – Physical Therapist, NPI 1013757764

JOSHUA MATTISON is a healthcare provider. based in Rochester, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 13468 (MN). The NPI Number for JOSHUA MATTISON is 1013757764

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
JOSHUA MATTISON
NPI
1013757764
Phone
(507) 322-3460
Address
3100 19TH ST NW STE 200
Enumeration Date
30 May 2024
Last Update Date
11 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5073223460
Graduation Year
2024 (2 years ago)
PAC ID
3173065588
Group Practice PAC ID
9931279932
Professional Enrollment ID
I20240612002795
Address ID
MN559064159RO3708XNXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,108 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

Provider Addresses for JOSHUA MATTISON

  • 3100 19TH ST NW STE 200

    ROCHESTER, MN 559016606

    Phone: (507) 322-3460

    Type: Mailing

  • 4229 W FRONTAGE RD N

    ROCHESTER, MN 559014310

    Phone: (507) 322-3460

    Type: Location

  • 3020 Broadway Ave N

    Rochester, MN 559063974

    Phone: (507) 322-3460

    Type: Location

  • 133 St Paul St SW

    Preston, MN 55965

    Phone: (507) 322-3460

    Type: Location

  • 3708 Broadway Ave N Ste 110

    Rochester, MN 559064159

    Phone: (507) 322-3460

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240612002795IPhysical Therapist In Private PracticeMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931279932View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
-MN
Physical Therapist In Private PracticeMN

Reviews

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Frequently asked questions

Does JOSHUA MATTISON have a public NPI I can cite?
Public records show JOSHUA MATTISON under NPI 1013757764.
Is JOSHUA MATTISON's NPI status active today?
Active status means JOSHUA MATTISON's NPI record is not deactivated in the public file.
What services align with JOSHUA MATTISON's listing?
JOSHUA MATTISON's public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to JOSHUA MATTISON?
The directory associates JOSHUA MATTISON with Rochester, Minnesota. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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