Active NPI
Tessa M Hubert, PT
- Physical Therapist
- Dakota Dunes, SD
National Provider Identifier
1679265177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2241
- Practice address
- 575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312 - Phone
- (605) 217-2667
- Fax
- (605) 217-2900
- NPI assigned
- May 23, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP019246T | NE | |
| Physical Therapist | 225100000X | 2241 | SD | Primary |
Addresses
Primary practice location
575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312
Mailing address
575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312
Phone (605) 217-2667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 E 4TH St
South Sioux City, NE 68776-9916
Phone (605) 217-2667
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.8 of 100
- Quality
- 82.54
- Promoting interoperability
- 89.05
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP019246T | NE | MD | Physical Therapist |
| 2241 | SD | MD | Physical Therapist |
Organizations & group practices 1
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": "1684800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1679265177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 N SIOUX POINT RD",
"city": "DAKOTA DUNES",
"state": "SD",
"postal_code": "570495312",
"telephone_number": "605-217-2667",
"fax_number": "605-217-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 N SIOUX POINT RD",
"city": "DAKOTA DUNES",
"state": "SD",
"postal_code": "570495312",
"telephone_number": "605-217-2667",
"fax_number": "605-217-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBERT",
"first_name": "TESSA",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-23",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "CP019246T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "2241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dakota Dunes, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.