Michael R Hambel, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6959 Issued in MN

Practice address

524 County Road 34 East
Dodge Center, MN 55927

Phone

(920) 858-7427

Fax

(920) 830-6707

NPI assigned

Jul 28, 2005

Last updated

Mar 3, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ascend Health

  • Chiropractor
  • Green Bay, WI
  • NPI 1487773255
  NPD (past)
• Blankenheim Occupational Therapy

  • Occupational Therapist
  • Rochester, NY
  • NPI 1588981054
  NPD (past)
• Blankenheim Services, LLC

  • Occupational Therapist
  • Appleton, WI
  • NPI 1992977862

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1093715351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 TRI PARK WAY",
            "address_2": "SUITE A",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549141652",
            "telephone_number": "920-830-6697",
            "fax_number": "920-830-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 COUNTY ROAD 34 EAST",
            "city": "DODGE CENTER",
            "state": "MN",
            "postal_code": "55927",
            "telephone_number": "920-858-7427",
            "fax_number": "920-830-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBEL",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10443-024",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "6959",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004288",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "64-07697",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURITY HEALTH PLAN",
            "identifier": "117378",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "001986652",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40458900",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "001286020",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dodge Center Chiropractic Office, P.a.
• Paul J Donnay, DDS
• William Bryan Edwards, LADC
• Eleanor (Ellie) Freerksen, MS
• Sarah Lynn Hall, SLP
• Cathy Jara, MOTR/L
• Jenna Jensen
• Jon Garrick Kelley, COTA
• Andrew Thomas Klein, D.C.
• Mayra L Monarrez

• Physical Therapist in Dodge Center, MN
• Providers in Dodge Center, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.