Individual provider Active NPI

Nicholas Doeling

  • Physical Therapist
  • Alexandria, MN
National Provider Identifier
1043448459
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8346 Issued in MN
Practice address
6600 State Highway 29 S
Alexandria, MN 56308-6196
Phone
(320) 763-8888
Fax
(320) 200-7478
NPI assigned
Jun 24, 2009
Last updated
Jun 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Physical Therapist 225100000X 8346 MN Primary

Addresses

Primary practice location

6600 State Highway 29 S
Alexandria, MN 56308-6196

Mailing address

500 Cross St
Big Stone City, SD 57216-8237
Phone (605) 541-1140

Other practice location 1

2440 Bridge Ave Ste 300
Albert Lea, MN 56007-2098
Phone (507) 552-0022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD, ND3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090826000535 MN Practitioner - Physical Therapist in Private Practice 1456406529 Reassigns benefits to 3 organizations
I20231122002872 SD Practitioner - Physical Therapist in Private Practice 1456406529 Reassigns benefits to 1 organization
I20250224000972 ND Practitioner - Physical Therapist in Private Practice 1456406529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Big Stone Therapies, IncGroup PAC ID 1254655434, 16 clinicians

Practice addresses (Care Compare)

700 N Monroe St
Minneota, MN 56264-9237
Phone (507) 872-5308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8346MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Big Stone Therapies Watertown, LLC Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients
Big Stone Therapies, Inc Physical Therapist CurrentSince Apr 1, 2022 Accepting new patients
BST Albert Lea, LLC Physical Therapist CurrentSince Oct 6, 2021 Accepting new patients
Big Stone Therapies Fargo, Inc Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Avera Marshall CurrentSince Apr 1, 2019 Accepting new patients
Avera Marshall CurrentSince Apr 1, 2019 Accepting new patients
Avera Marshall Current Accepting new patients
Big Stone Therapies Baxter, LLC Physical Therapist Past Accepting new patients
Avera Marshall Past Accepting new patients

Locations

2440 Bridge Ave
Ste 300
Albert Lea, MN 56007
Phone (507) 552-0022

1420 E College Dr
Ste 704
Marshall, MN 56258
Phone (507) 532-3392

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

820 Roy St
Ortonville, MN 56278
Phone (320) 839-4090

123 W Broadway St
Owatonna, MN 55060
Phone (507) 451-7888

2401 41st St S
Fargo, ND 58104
Phone (701) 478-7868

645 33rd Ave E
West Fargo, ND 58078
Phone (701) 478-7868

500 Cross St
Big Stone Cty, SD 57216
Phone (605) 541-1140

8 5th St SE
Watertown, SD 57201
Phone (605) 753-5400

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1043448459",
    "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": "6600 STATE HIGHWAY 29 S",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563086196",
            "telephone_number": "320-763-8888",
            "fax_number": "320-200-7478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2440 Bridge Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Albert Lea",
            "state": "MN",
            "postal_code": "560072098",
            "country_code": "US",
            "telephone_number": "507-552-0022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOELING",
        "first_name": "NICHOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-24",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "8346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.