Individual provider Active NPI

Seth Sibunka, PT, DPT

  • Physical Therapist
  • St Paul, MN
National Provider Identifier
1306073887
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10135 Issued in MN
Practice address
280 Smith Ave N, Suite 120
St Paul, MN 55102
Phone
(651) 241-7560
Fax
(651) 241-7561
NPI assigned
Jun 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 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 10135 MN Primary

Addresses

Primary practice location

280 Smith Ave N, Suite 120
St Paul, MN 55102

Mailing address

280 Smith Ave N Suite 120
St Paul, MN 55102
Phone (651) 241-7560

Other practice location 1

2707 Stange Rd
Suite 102
Ames, IA 50010-3965
Phone (515) 956-4014

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
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
10135MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
McFarland Clinic, PC Past Accepting new patients
McFarland Clinic, PC Past Accepting new patients
Allina Health System PastSince Apr 17, 2020 Accepting new patients
Allina Health System PastSince Apr 17, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1306073887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 SMITH AVE N SUITE 120",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55102",
            "telephone_number": "651-241-7560",
            "fax_number": "651-241-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 SMITH AVE N, SUITE 120",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55102",
            "telephone_number": "651-241-7560",
            "fax_number": "651-241-7561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2707 Stange Rd",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Ames",
            "state": "IA",
            "postal_code": "500103965",
            "country_code": "US",
            "telephone_number": "515-956-4014",
            "fax_number": "515-292-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIBUNKA",
        "first_name": "SETH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-11",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "10135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.