Individual provider Active NPI

Rebecca Varoga, PT, DPT

  • Physical Therapist
  • Forest Lake, MN
National Provider Identifier
1194276048
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10380 Issued in MN
Practice address
146 Lake St N
Forest Lake, MN 55025-2518
Phone
(651) 275-4706
Fax
(651) 464-8547
NPI assigned
Oct 16, 2016
Last updated
Dec 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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 10380 MN Primary

Addresses

Primary practice location

146 Lake St N
Forest Lake, MN 55025-2518

Mailing address

7581 9TH St N Ste 100
Oakdale, MN 55128-6635
Phone (651) 748-4338

Other practice location 1

2 Enterprise Ave NE
Isanti, MN 55040-6810
Phone (763) 444-8680

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201013002837 MN Practitioner - Physical Therapist in Private Practice 9931529963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Partners IncGroup PAC ID 4486552593, 135 clinicians

Practice addresses (Care Compare)

1700 Tower Dr W
Stillwater, MN 55082-7511
Phone (651) 439-8540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Partners, Inc. Physical Therapist CurrentSince Oct 19, 2020 Accepting new patients
Therapy Partners Inc Physical Therapist CurrentSince Oct 19, 2020 Accepting new patients

Locations

146 Lake St N
Forest Lake, MN 55025
Phone (651) 464-5235

146 Lake St N
Ste 200
Forest Lake, MN 55025
Phone (651) 275-4706

1939 Minnehaha Ave W
Ste 300
Saint Paul, MN 55104

7581 9th St N
Ste 100
Saint Paul, MN 55128

1700 Tower Dr W
Stillwater, MN 55082
Phone (651) 275-4706

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1476576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1194276048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7581 9TH ST N STE 100",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551286635",
            "telephone_number": "651-748-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 LAKE ST N",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252518",
            "telephone_number": "651-275-4706",
            "fax_number": "651-464-8547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Enterprise Ave NE",
            "address_purpose": "LOCATION",
            "city": "Isanti",
            "state": "MN",
            "postal_code": "550406810",
            "country_code": "US",
            "telephone_number": "763-444-8680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAROGA",
        "first_name": "REBECCA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-16",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "10380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.