Dusty Hibdon

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

204830 Issued in AK

Practice address

3765 E Blue Lupine Dr
Wasilla, AK 99654-8417

Phone

(907) 373-9462

NPI assigned

Feb 17, 2023

Last updated

Feb 17, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Lab LLCGroup PAC ID 2961940705, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Health Lab LLC

  dba Health Lab Physical Therapy and Fitness

  • Physical Therapist
  • Wasilla, AK
  • NPI 1568230910
  Medicare reassignment Care Compare group NPD
• Empower Physical Therapy, LLC

  dba Empower Physical Therapy

  • Physical Therapy Clinic/Center
  • Wasilla, AK
  • NPI 1508528472

  Physical Therapist

  Medicare reassignment NPD
• Empower Physical Therapy Limited Partnership

  • Physical Therapist
  • Wasilla, AK
  • NPI 1023809928
  NPD (past)

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1114625217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 WOODRIDGE CT",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815056800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3765 E BLUE LUPINE DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548417",
            "telephone_number": "907-373-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBDON",
        "first_name": "DUSTY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "204830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Hesse, NURSE PRACTITIONER
• Crystal Ann Hester
• Kayleen Hetrick, LPC
• Angela Heynen
• Zachary Heywood
• Madison Hibdon, DPT
• Donna Marie Hickle
• Steven James Hickok
• Dawn Hicks
• Michelle Renea Anderson Higham

• Physical Therapist in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.