Individual provider Active NPI

Andrea Guggenbuehl

  • Physical Therapist
  • Minneota, MN
National Provider Identifier
1134468366
Registry record updated Apr 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9018 Issued in MN
Practice address
700 N Monroe St
Minneota, MN 56264-9237
Phone
(507) 872-5308
Fax
(605) 541-0109
NPI assigned
Feb 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 070.019938 IL
Physical Therapist 225100000X 9018 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

724 Maple Grove Rd
Duluth, MN 55811-4521
Phone (218) 279-4209

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220923000937 MN Practitioner - Physical Therapist in Private Practice 3072892322 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.019938ILMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Big Stone Therapies, Inc Physical Therapist CurrentSince Sep 1, 2022 Accepting new patients
Big Stone Therapies Baxter, LLC Physical Therapist Past Accepting new patients

Locations

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 2

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": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680307200000",
    "number": "1134468366",
    "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"
        },
        {
            "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",
            "fax_number": "605-541-0109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "724 Maple Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558114521",
            "country_code": "US",
            "telephone_number": "218-279-4209",
            "fax_number": "833-657-0283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUGGENBUEHL",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-07",
        "last_updated": "2023-04-01",
        "certification_date": "2023-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070.019938",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "9018",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.