Individual provider Active NPI

Bethany Hubbard, DPT

  • Physical Therapist
  • Apple Valley, MN
National Provider Identifier
1801193248
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9524 Issued in MN
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20150312002646 MN Practitioner - Physical Therapist in Private Practice 0648596460 Reassigns benefits to 1 organization

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
Therapy Partners IncGroup PAC ID 4486552593, 135 clinicians

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

LicenseStateTypeSpecialty
9524MNMDPhysical Therapist
11563-024WIMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Partners, Inc. Physical Therapist CurrentSince Mar 23, 2020 Accepting new patients
Therapy Partners Inc Physical Therapist CurrentSince Mar 23, 2020 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.

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.

Verify at the official NPI Registry.