Active NPI
Bethany Hubbard, DPT
- Physical Therapist
- Apple Valley, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9524
- Practice address
- 15160 Foliage Ave Ste 170
Apple Valley, MN 55124-5916 - Phone
- (952) 683-1745
- Fax
- (952) 683-1746
- NPI assigned
- Feb 21, 2011
- Last updated
- Jan 20, 2020
- 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 | 9524 | MN | Primary |
| Pediatric Physical Therapist | 2251P0200X | 11563-024 | WI |
Addresses
Primary practice location
15160 Foliage Ave Ste 170
Apple Valley, MN 55124-5916
Mailing address
15160 Foliage Ave Ste 170
Apple Valley, MN 55124-5916
Phone (952) 683-1745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Mayo Medical School, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1351 Larc Industrial Blvd
Burnsville, MN 55337-1411
Phone (952) 683-1745
15160 Foliage Ave
Suite 170
Apple Valley, MN 55124-5903
Phone (952) 683-1745
1700 Tower Dr W
Stillwater, MN 55082-7511
Phone (651) 439-8540
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9524 | MN | MD | Physical Therapist |
| 11563-024 | WI | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Partners, Inc. | Physical Therapist | Current | Accepting new patients |
| Therapy Partners Inc | Physical Therapist | Current | Accepting new patients |
Locations
1351 Larc Industrial Blvd
Burnsville, MN 55337
Phone (952) 683-1745
1605 Heritage Dr
Ste 369
Northfield, MN 55057
Phone (651) 433-1918
1499 Hay Creek Valley Rd
Red Wing, MN 55066
Phone (507) 951-8822
15160 Foliage Ave
Ste 170
Saint Paul, MN 55124
Phone (952) 683-1745
1939 Minnehaha Ave W
Ste 300
Saint Paul, MN 55104
1700 Tower Dr W
Stillwater, MN 55082
Phone (651) 275-4706
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Saint Paul, MN
- NPI 1407809494
Physical Therapist
-
- Physical Therapy Clinic/Center
- Apple Valley, MN
- NPI 1841678554
-
- Physical Therapist
- Forest Lake, MN
- NPI 1821179607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579478400000",
"number": "1801193248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15160 FOLIAGE AVE STE 170",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551245916",
"telephone_number": "952-683-1745",
"fax_number": "952-683-1746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15160 FOLIAGE AVE STE 170",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551245916",
"telephone_number": "952-683-1745",
"fax_number": "952-683-1746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "BETHANY",
"name_prefix": "Miss",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-21",
"last_updated": "2020-01-20",
"certification_date": "2020-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "9524",
"primary": true
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "WI",
"license": "11563-024",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apple Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.