Active NPI
Betty J Hengelmann, P.T.
- Physical Therapist
- Hopkins, MN
National Provider Identifier
1710930714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1685
- Practice address
- 750 2ND St NE
Suite 106
Hopkins, MN 55343-8587 - Phone
- (952) 936-9600
- Fax
- (951) 936-9536
- NPI assigned
- May 19, 2006
- Last updated
- Jul 2, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1685 | MN | Primary |
Addresses
Primary practice location
750 2ND St NE
Suite 106
Hopkins, MN 55343-8587
Mailing address
7541 9TH St N
Oakdale, MN 55128-6626
Phone (651) 748-4338
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 198K2HE | Other | MN | BLUECROSS BLUESHEILD |
| 992245800 | Medicaid | MN | |
| 6402608 | Other | MN | MEDICA |
| HP27933 | Other | MN | HEALTHPARTNERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110210000441 | MN | Practitioner - Physical Therapist in Private Practice | 9436057494 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Step Therapies, Inc. | Past | Accepting new patients |
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, 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": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246492800000",
"number": "1710930714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7541 9TH ST N",
"city": "OAKDALE",
"state": "MN",
"postal_code": "551286626",
"telephone_number": "651-748-4338",
"fax_number": "651-748-2892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 2ND ST NE",
"address_2": "SUITE 106",
"city": "HOPKINS",
"state": "MN",
"postal_code": "553438587",
"telephone_number": "952-936-9600",
"fax_number": "951-936-9536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENGELMANN",
"first_name": "BETTY",
"middle_name": "J",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2009-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "1685",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHEILD",
"identifier": "198K2HE",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "992245800",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6402608",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP27933",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hopkins, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.