Active NPI
Rebecca Mae Gilbertson, PT
- Physical Therapist
- Roseville, MN
National Provider Identifier
1073734976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8857
- Practice address
- 2945 Lincoln Dr
Roseville, MN 55113-1338 - Phone
- (651) 628-3000
- NPI assigned
- May 1, 2007
- 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 | PT9522 | CO | |
| Physical Therapist | 225100000X | 8857 | MN | Primary |
Addresses
Primary practice location
2945 Lincoln Dr
Roseville, MN 55113-1338
Mailing address
1854 20TH Ave NW
New Brighton, MN 55112-5420
Phone (612) 275-4229
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| UNIV OF WI | Other | WI | MS PHYSICAL THERAPY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2945 Lincoln Dr
Roseville, MN 55113-1338
Phone (651) 631-6570
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8857 | MN | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| PT9522 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optage Inc | Physical Therapist | Current | Accepting new patients |
| Optage Inc | Physical Therapist | Current | Accepting new patients |
| Optage Inc | Physical Therapist | Current | Accepting new patients |
Locations
2845 Hamline Ave N
Saint Paul, MN 55113
Phone (651) 631-6100
Organizations & group practices 3
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": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1073734976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1854 20TH AVE NW",
"city": "NEW BRIGHTON",
"state": "MN",
"postal_code": "551125420",
"telephone_number": "612-275-4229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2945 LINCOLN DR",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551131338",
"telephone_number": "651-628-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERTSON",
"first_name": "REBECCA",
"middle_name": "MAE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PT9522",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "8857",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MS PHYSICAL THERAPY",
"identifier": "UNIV OF WI",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.