Gwen Humann, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8968 Issued in MN

Practice address

430 5TH St N
Breckenridge, MN 56520-1426

Phone

(218) 641-7725

Fax

(218) 641-6625

NPI assigned

Feb 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Total Body LLCGroup PAC ID 3476083296, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Total Body LLC

  • Physical Therapist
  • Battle Lake, MN
  • NPI 1104636299
  Medicare reassignment Care Compare group NPD
• Orthopedic & Sports Physical Therapy, Inc

  • Multi-Specialty Clinic/Center
  • Breckenridge, MN
  • NPI 1811923535

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1063913259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23757 CANTERBURRY SANDS TRAIL",
            "city": "BATTLE LAKE",
            "state": "MN",
            "postal_code": "56515",
            "telephone_number": "218-371-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 5TH ST N",
            "city": "BRECKENRIDGE",
            "state": "MN",
            "postal_code": "565201426",
            "telephone_number": "218-641-7725",
            "fax_number": "218-641-6625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 N Tower Rd",
            "address_purpose": "LOCATION",
            "city": "Fergus Falls",
            "state": "MN",
            "postal_code": "565371015",
            "country_code": "US",
            "telephone_number": "218-371-2843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMANN",
        "first_name": "GWEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "8968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin R Guck, PT, ATC
• Sara Ann Hasbargen, COTA/L
• Clarissa Heger, PTA
• Sheyenne Lynn Hokit, MS, LPC
• Gregory Donald Holubok Jr., OTR/L
• Intuitive Touch Massge
• Denise Rita Jelinek, PT
• Taylor Karger, PT, DPT
• Laurie Jo Ann Kessler, MS LAC
• Jan E Ketterling, PSYD

• Physical Therapist in Breckenridge, MN
• Providers in Breckenridge, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.