Individual provider Active NPI

Kellie Marie Stebe

  • Physical Therapist
  • Hopkins, MN
National Provider Identifier
1750547634
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8148 Issued in MN
Practice address
15 8TH Ave N
Hopkins, MN 55343-7611
Phone
(952) 933-5085
Fax
(952) 931-2159
NPI assigned
Jul 31, 2008
Last updated
Jun 22, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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 8148 MN Primary

Addresses

Primary practice location

15 8TH Ave N
Hopkins, MN 55343-7611

Mailing address

15 8TH Ave N
Hopkins, MN 55343-7611
Phone (952) 933-5085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080926000034 MN Practitioner - Physical Therapist in Private Practice 9638246077 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hopkins Health and Wellness Center PAGroup PAC ID 5496703829, 11 clinicians

Practice addresses (Care Compare)

15 8TH Ave N
Hopkins, MN 55343-7611
Phone (952) 933-5085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8148MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hopkins Health and Wellness Center PA CurrentSince Jun 1, 2011 Accepting new patients
DMR Methods Physical Therapist CurrentSince Nov 2, 2025 Accepting new patients
Big Lake Spine & Sport, PA PastSince Oct 15, 2007 Accepting new patients
Integrated Care Clinics, PA Physical Therapist PastSince Jul 22, 2015 Accepting new patients

Locations

15 8th Ave N
Hopkins, MN 55343
Phone (952) 933-5085

15 8th Ave N
Ste 2
Hopkins, MN 55343
Phone (952) 207-2768

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1750547634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 8TH AVE N",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437611",
            "telephone_number": "952-933-5085",
            "fax_number": "952-931-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 8TH AVE N",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437611",
            "telephone_number": "952-933-5085",
            "fax_number": "952-931-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEBE",
        "first_name": "KELLIE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "8148",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 22, 2011; 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.