Active NPI
Bart Hebert, PT
- Physical Therapist
- Minocqua, WI
National Provider Identifier
1245349083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2936-04
- Practice address
- 8554 Hwy 51 North
Minocqua, WI 54548 - Phone
- (715) 358-1929
- Fax
- (715) 356-4031
- NPI assigned
- Aug 29, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 2936-024 | WI | |
| Physical Therapist | 225100000X | 2936-04 | WI | Primary |
Addresses
Primary practice location
8554 Hwy 51 North
Minocqua, WI 54548
Mailing address
PO Box 11
Minocqua, WI 54548-0011
Phone (715) 358-1929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40237800 | Medicaid | WI |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2936-04 | WI | MD | Physical Therapist |
| 2936-024 | WI | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excelrehab & Spine Center, Inc. | Physical Therapist | Past | Accepting new patients |
| Sport & Spine Clinic LP | Physical Therapist | Past | Accepting new patients |
| Stratford Therapy Services, Inc. | Physical Therapist | Past | Accepting new patients |
| Excelrehab & Spine Center, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 4
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
- Rhinelander, WI
- NPI 1043411358
-
- Rehabilitation Clinic/Center
- Minocqua, WI
- NPI 1649389479
Physical Therapist
-
- Physical Therapist
- Auburndale, WI
- NPI 1043252695
-
- Physical Therapist
- Stratford, WI
- NPI 1992875942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239926400000",
"number": "1245349083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11",
"city": "MINOCQUA",
"state": "WI",
"postal_code": "545480011",
"telephone_number": "715-358-1929",
"fax_number": "715-356-4031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8554 HWY 51 NORTH",
"city": "MINOCQUA",
"state": "WI",
"postal_code": "54548",
"telephone_number": "715-358-1929",
"fax_number": "715-356-4031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEBERT",
"first_name": "BART",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2009-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "WI",
"license": "2936-024",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "2936-04",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40237800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minocqua, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.