Active NPI
Charles R Bigelow, PT
- Physical Therapist
- Worthington, MN
National Provider Identifier
1154317337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2284
- Practice address
- 1530 Rowe Ave
Worthington, MN 56187-9700 - Phone
- (507) 372-2232
- Fax
- (507) 372-7326
- NPI assigned
- Sep 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2284 | MN | Primary |
| Physical Therapist | 225100000X | 0469 | SD | |
| Physical Therapist | 225100000X | 483 | ND | |
| Physical Therapist | 225100000X | 03105 | IA |
Addresses
Primary practice location
1530 Rowe Ave
Worthington, MN 56187-9700
Mailing address
1530 Rowe Ave
Worthington, MN 56187-9700
Phone (507) 372-2232
Other identifiers 20
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25806 | Other | MN | ARAZ |
| 5830113 | Medicaid | SD | |
| 25806 | Other | SD | ARAZ |
| 5830115 | Medicaid | SD | |
| 64-08038 | Other | MN | MEDICA |
| 23143 | Other | MN | SIOUX VALLEY HEALTH PLANS |
| 64-08036 | Other | SD | MEDICA |
| 8B711BI | Other | SD | BLUE CROSS BLUE SHIELD MN |
| 4998544 | Other | SD | BLUE CROSS BLUE SHIELD SD |
| 64-05334 | Other | MN | MEDICA |
| 8B711BI | Other | MN | BLUE CROSS BLUE SHIELD MN |
| 0469.1 | Other | MN | DAKOTACARE |
| 5830112 | Medicaid | SD | |
| 64-03580 | Other | MN | MEDICA |
| 0469.1 | Other | SD | DAKOTACARE |
| 64-04224 | Other | MN | MEDICA |
| 64-08037 | Other | SD | MEDICA |
| 64-04206 | Other | SD | MEDICA |
| 3110 | Other | MN | AVERA HEALTH PLANS |
| 64-03864 | Other | MN | MEDICA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03105 | IA | MD | Physical Therapist |
| 0469 | SD | MD | Physical Therapist |
| 2284 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Rehabilitation Services, Inc. | Physical Therapist | Past | Accepting new patients |
| Prairie Rehabilitation Services, Inc. | Physical Therapist | Past | Accepting new patients |
| Prairie Rehabilitation Services, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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 Therapist
- Worthington, MN
- NPI 1245959105
-
- Durable Medical Equipment & Medical Supplies
- Worthington, MN
- NPI 1730267022
-
- Physical Therapist
- Sioux Falls, SD
- NPI 1902892409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154317337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 ROWE AVE",
"city": "WORTHINGTON",
"state": "MN",
"postal_code": "561879700",
"telephone_number": "507-372-2232",
"fax_number": "507-372-7326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 ROWE AVE",
"city": "WORTHINGTON",
"state": "MN",
"postal_code": "561879700",
"telephone_number": "507-372-2232",
"fax_number": "507-372-7326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIGELOW",
"first_name": "CHARLES",
"middle_name": "R",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "2284",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "0469",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "483",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "03105",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ",
"identifier": "25806",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5830113",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ",
"identifier": "25806",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5830115",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "64-08038",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIOUX VALLEY HEALTH PLANS",
"identifier": "23143",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "64-08036",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MN",
"identifier": "8B711BI",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD SD",
"identifier": "4998544",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "64-05334",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MN",
"identifier": "8B711BI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTACARE",
"identifier": "0469.1",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5830112",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "64-03580",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTACARE",
"identifier": "0469.1",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "64-04224",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "64-08037",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "64-04206",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVERA HEALTH PLANS",
"identifier": "3110",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "64-03864",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Worthington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.