Individual provider Active NPI

Paul Howard Hougan, PHYSICAL THERAPIST

  • Physical Therapist
  • Minneota, MN
National Provider Identifier
1073586830
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2076 Issued in MN
Practice address
700 N Monroe St
Minneota, MN 56264-9237
Phone
(507) 872-5308
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2076 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

1620 17th St NW
Faribault, MN 55021-2839
Phone (507) 332-2204

Other identifiers 6

IdentifierTypeStateIssuer
236065OtherMNARAZ
HP43928OtherMNHEALTH PARTNERS IND #
462220100MedicaidMN
116113OtherMNUCARE IND PROVIDER #
6400059OtherMNMEDICA IND PROV #
8B434HOOtherMNBCBS IND PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050920000423 MN Practitioner - Physical Therapist in Private Practice 7517991516 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1980
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

Practice roles

OrganizationSpecialtyStatusNew patients
Potter Chiropractic CurrentSince Jun 10, 2009 Accepting new patients
Big Stone Therapies, Inc Physical Therapist CurrentSince Oct 27, 2023 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Aug 25, 2020 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Aug 25, 2020 Accepting new patients
Big Stone Therapies Baxter, LLC Physical Therapist Past Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

1620 17th St NW
Faribault, MN 55021
Phone (507) 332-2204

900 Cannon Valley Dr E
Ste 118A
Northfield, MN 55057

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

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1073586830",
    "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 17th St NW",
            "address_purpose": "LOCATION",
            "city": "Faribault",
            "state": "MN",
            "postal_code": "550212839",
            "country_code": "US",
            "telephone_number": "507-332-2204",
            "fax_number": "507-332-2270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUGAN",
        "first_name": "PAUL",
        "middle_name": "HOWARD",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "2076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARAZ",
            "identifier": "236065",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS IND #",
            "identifier": "HP43928",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "462220100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE IND PROVIDER #",
            "identifier": "116113",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA IND PROV #",
            "identifier": "6400059",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IND PROVIDER #",
            "identifier": "8B434HO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneota, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.