Gabriel Dubberke

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

101452 Issued in IA

Practice address

109 W McLane St
Osceola, IA 50213-1419

Phone

(641) 342-1470

NPI assigned

Jul 22, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

21St Century Rehab PCGroup PAC ID 1456250448, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• 21St Century Rehab, PC

  • Rehabilitation Clinic/Center
  • Altoona, IA
  • NPI 1114963154

  IA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• 21St Century Rehab PC

  • Rehabilitation Clinic/Center
  • Indianola, IA
  • NPI 1174783583
  NPD
• 21St Century Rehab PC

  • Rehabilitation Clinic/Center
  • Madrid, IA
  • NPI 1407016819
  NPD

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1689282956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 461",
            "city": "NEVADA",
            "state": "IA",
            "postal_code": "502010461",
            "telephone_number": "515-382-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W MCLANE ST",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "502131419",
            "telephone_number": "641-342-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBBERKE",
        "first_name": "GABRIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "101452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarke Electric Cooperative, Inc.
• Faith Cox, DPT
• Curana Health of Iowa PLLC
• Sarah A Davis, M.S., R.D., L.D.
• Tracy Anna Drinkard
• Dutchmen Incorporated
• Valarie Kay Eagen
• Alexandria Paige Elliott, ARNP
• Emcare Physician Providers Inc.
• Epc Ia Aco LLC

• All providers in Osceola, IA
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.