Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brandon Boeck

Individual provider Physical Therapist · NPI 1962956995

Brandon Boeck is a Physical Therapist in Private Practice in North Mankato, Minnesota. Qualified in 2016, 10 years ago. Practices with Activept, Corp, a 77-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2016

Practice location Address checks out

1681 Commerce Dr
North Mankato, MN 56003-1913
Phone: (507) 625-8017
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 10415 (MN)

Record details

NPI number1962956995
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 8, 2016
Last updated in NPPESMarch 2, 2022
Certification dateMarch 2, 2022
Mailing address7551 9th St N, Suite 100, Saint Paul, MN 55128-6629

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Activept, Corp. — 77 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in North Mankato