Active NPI
Pamela Elizabeth Neugebauer, D.P.T.
- Physical Therapist
- Minneota, MN
National Provider Identifier
1003924614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7454
- Practice address
- 700 N Monroe St
Minneota, MN 56264-9237 - Phone
- (507) 872-5308
- Fax
- (605) 541-1090
- NPI assigned
- Aug 25, 2006
- Last updated
- Mar 9, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1290 | SD | |
| Physical Therapist | 225100000X | 7454 | MN | Primary |
Addresses
Primary practice location
700 N Monroe St
Minneota, MN 56264-9237
Mailing address
500 Cross St
Big Stone City, SD 57216-8237
Phone (605) 541-1140
Other practice location 1
724 Maple Grove Rd
Duluth, MN 55811-4521
Phone (218) 279-4209
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 640071000 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646784000000",
"number": "1003924614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 CROSS ST",
"city": "BIG STONE CITY",
"state": "SD",
"postal_code": "572168237",
"telephone_number": "605-541-1140",
"fax_number": "605-541-0109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 N MONROE ST",
"city": "MINNEOTA",
"state": "MN",
"postal_code": "562649237",
"telephone_number": "507-872-5308",
"fax_number": "605-541-1090"
}
],
"practiceLocations": [
{
"address_1": "724 Maple Grove Rd",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "MN",
"postal_code": "558114521",
"country_code": "US",
"telephone_number": "218-279-4209",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEUGEBAUER",
"first_name": "PAMELA",
"middle_name": "ELIZABETH",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "1290",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "7454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "640071000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minneota, MN
- Living Services Foundation/Minneota, LLC (Minneota Manor Health Care Center)
- Living Services Foundation/Minneota, LLC (Town & Country Home Health Care)
- Minneota Public School
- Minneota Residential Services Limited Partnership
- Heather Dawn Murphy, OTR/L
- Victoria Petruccelli, FNP
- Prairie Winds Wellness, PLLC
- Robert Charles Schulte, DDS
- Stephanie Allecia Vlaminck, D.C.
- Lori Winterfeld, OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.