Individual provider Active NPI

Nichole Dybsetter, PT

  • Physical Therapist
  • Sioux City, IA
National Provider Identifier
1134522923
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
073856 Issued in IA
Practice address
5885 Sunnybrook Dr
Suite E-100
Sioux City, IA 51106-4203
Phone
(712) 266-2700
Fax
(712) 266-2719
NPI assigned
Oct 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 073856 IA Primary

Addresses

Primary practice location

5885 Sunnybrook Dr
Suite E-100
Sioux City, IA 51106-4203

Mailing address

5885 Sunnybrook Dr
Suite E-100
Sioux City, IA 51106-4203
Phone (712) 266-2700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141112002199 IA Practitioner - Physical Therapist in Private Practice 4789806449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multi Care Physicians Group PCGroup PAC ID 1153390745, 5 clinicians

Practice addresses (Care Compare)

3930 Stadium Dr
Sioux City, IA 51106-5166
Phone (712) 276-4325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Multi Care Physicians Group PC CurrentSince Aug 23, 2021 Accepting new patients

Locations

3930 Stadium Dr
Sioux City, IA 51106
Phone (712) 271-6463

Organizations & group practices 1

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": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1134522923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 SUNNYBROOK DR",
            "address_2": "SUITE E-100",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064203",
            "telephone_number": "712-266-2700",
            "fax_number": "712-266-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5885 SUNNYBROOK DR",
            "address_2": "SUITE E-100",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064203",
            "telephone_number": "712-266-2700",
            "fax_number": "712-266-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYBSETTER",
        "first_name": "NICHOLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-07",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "073856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.