Active NPI
David Hughes, P.T.
- Physical Therapist
- Baxter, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4977
- Practice address
- 15620 Edgewood Drive
Suite 240
Baxter, MN 56425 - Phone
- (218) 454-7012
- Fax
- (320) 839-4196
- NPI assigned
- Jul 24, 2006
- Last updated
- Mar 7, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4977 | MN | Primary |
Addresses
Primary practice location
15620 Edgewood Drive
Suite 240
Baxter, MN 56425
Mailing address
500 Cross St
Big Stone City, SD 57216-8237
Phone (605) 541-1140
Other practice location 1
6600 State Highway 29 S
Alexandria, MN 56308-6196
Phone (320) 763-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15620 Edgewood Dr
Suite 240
Baxter, MN 56401-6984
Phone (218) 454-7012
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4977 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Stone Therapies Baxter, LLC | Physical Therapist | Current | Accepting new patients |
| Big Stone Therapies, Inc | Physical Therapist | Past | Accepting new patients |
Locations
15620 Edgewood Dr
Ste 240
Brainerd, MN 56401
Phone (218) 454-7012
309 Washington Ave
Ortonville, MN 56278
Phone (320) 839-4090
500 Cross St
Big Stone Cty, SD 57216
Phone (605) 541-1140
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.
-
- Physical Therapy Clinic/Center
- Baxter, MN
- NPI 1194020669
Physical Therapist
-
- Physical Therapy Clinic/Center
- Big Stone City, SD
- NPI 1124044656
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1487676912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 CROSS ST",
"city": "BIG STONE CITY",
"state": "SD",
"postal_code": "572168237",
"telephone_number": "605-541-1140",
"fax_number": "605-541-0109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15620 EDGEWOOD DRIVE",
"address_2": "SUITE 240",
"city": "BAXTER",
"state": "MN",
"postal_code": "56425",
"telephone_number": "218-454-7012",
"fax_number": "320-839-4196"
}
],
"practiceLocations": [
{
"address_1": "6600 State Highway 29 S",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "MN",
"postal_code": "563086196",
"country_code": "US",
"telephone_number": "320-763-8888",
"fax_number": "320-200-7478",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUGHES",
"first_name": "DAVID",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "4977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baxter, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.