Active NPI
Andrea Guggenbuehl
- Physical Therapist
- Minneota, MN
National Provider Identifier
1134468366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9018
- 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
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 |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.019938 | IL | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Stone Therapies, Inc | Physical Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- Big Stone City, SD
- NPI 1124044656
MN, Physical Therapist
-
- Physical Therapy Clinic/Center
- Baxter, MN
- NPI 1194020669
Physical Therapist
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.