Individual provider Active NPI

David Hughes, P.T.

  • Physical Therapist
  • Baxter, MN
National Provider Identifier
1487676912
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4977 Issued in MN
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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 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

Enrollment IDStateProvider typePAC IDDetails
I20060803000019 MN Practitioner - Physical Therapist in Private Practice 0345253670 Reassigns benefits to 1 organization

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
Big Stone Therapies Baxter, LLCGroup PAC ID 2365627684, 6 clinicians

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

LicenseStateTypeSpecialty
4977MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Big Stone Therapies Baxter, LLC Physical Therapist CurrentSince Apr 1, 2011 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.

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.

Verify at the official NPI Registry.