Henry Byl
Individual provider Active NPI Physical Therapist · North Mankato, MN
NPI 1003276908 · NPPES record last updated Mar 4, 2016
Key facts
- NPI
- 1003276908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 10212 (MN)
- Practice address
- 1681 Commerce Dr
North Mankato, MN 56003-1913 - Phone
- (507) 625-8017
- NPI assigned
- Mar 4, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Proactive Physical Therapy and Sports Rehab, Inc
Practice addresses (Care Compare)
110 16TH St SW
Sioux Center, IA 51250-2944
Phone (712) 722-1902
1717 N Prairie View Cir
Sioux Center, IA 51250-7604
301 10TH St
Suite C
Sheldon, IA 51201-1509
Phone (712) 324-0110
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180815003331 | IA | Practitioner - Physical Therapist in Private Practice | 0547566549 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10212 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Physical Therapy & Sports Rehab, Inc | Physical Therapist | Current |
Accepting new patients |
Locations
301 10th St
Ste C
Sheldon, IA 51201
Phone (712) 324-0110
110 16th St SW
Sioux Center, IA 51250
Phone (712) 722-1902
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10212 | MN | Yes |
Addresses
Primary practice location
1681 Commerce Dr
North Mankato, MN 56003-1913
Mailing address
7551 9TH St N
Suite 100
Oakdale, MN 55128-6629
Phone (651) 748-4338
Other providers in North Mankato, MN
- Leah Rose Breit
- Gina Brinatte
- Amanda Lee Burg
- Mary Larae Burshem
- Beth Ann Bushie
- Caregiving, Inc
- Claire Carpenter
- Tracy W Caven
- Center for Resilience Strategies LLC
- Natasha Choiniere
All providers in North Mankato, MN · Physical Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.