Active NPI
Alison Mary Kubat, DPT
- Physical Therapist
- Virginia, MN
National Provider Identifier
1104181924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9144
- Practice address
- 8373 Unity Dr
Virginia, MN 55792-4005 - Phone
- (218) 249-5555
- NPI assigned
- Jul 9, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9144 | MN | Primary |
Addresses
Primary practice location
8373 Unity Dr
Virginia, MN 55792-4005
Mailing address
8373 Unity Dr
Virginia, MN 55792-4005
Phone (218) 249-5555
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@slk.direct.slhduluth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9144 | MN | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656288000000",
"number": "1104181924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8373 UNITY DR",
"city": "VIRGINIA",
"state": "MN",
"postal_code": "557924005",
"telephone_number": "218-249-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8373 UNITY DR",
"city": "VIRGINIA",
"state": "MN",
"postal_code": "557924005",
"telephone_number": "218-249-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUBAT",
"first_name": "ALISON",
"middle_name": "MARY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-09",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "9144",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@slk.direct.slhduluth.com",
"affiliation": "N",
"address_1": "8373 Unity Dr",
"city": "Virginia",
"state": "MN",
"country_code": "US",
"postal_code": "557924005",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Virginia, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.