Active NPI
Mark G Hulst, PT
- Physical Therapist
- Orange City, IA
National Provider Identifier
1568587616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00679
- Practice address
- 1000 Lincoln Cir SE
Suite 400
Orange City, IA 51041-1862 - Phone
- (712) 737-5234
- Fax
- (712) 737-5287
- NPI assigned
- Mar 20, 2007
- 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 | 00679 | IA | Primary |
Addresses
Primary practice location
1000 Lincoln Cir SE
Suite 400
Orange City, IA 51041-1862
Mailing address
1000 Lincoln Cir SE
Suite 400
Orange City, IA 51041-1862
Phone (712) 737-5234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00334 | Other | IA | WELLMARK |
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 |
|---|---|---|---|
| 00679 | IA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orange City Municipal Hospital | Past | Accepting new patients | |
| Therapeutic Health Services, Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Orange City, IA
- NPI 1053436188
-
- Family Medicine Physician
- Orange City, IA
- NPI 1962477992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568587616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 LINCOLN CIR SE",
"address_2": "SUITE 400",
"city": "ORANGE CITY",
"state": "IA",
"postal_code": "510411862",
"telephone_number": "712-737-5234",
"fax_number": "712-737-5287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 LINCOLN CIR SE",
"address_2": "SUITE 400",
"city": "ORANGE CITY",
"state": "IA",
"postal_code": "510411862",
"telephone_number": "712-737-5234",
"fax_number": "712-737-5287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULST",
"first_name": "MARK",
"middle_name": "G",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "00679",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "00334",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orange City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.