Active NPI
Beth K Drager, PT
- Physical Therapist
- Big Lake, MN
National Provider Identifier
1841524949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8397
- Practice address
- 29 Lake St S
Big Lake, MN 55309-4588 - Phone
- (763) 263-3470
- Fax
- (763) 263-5900
- NPI assigned
- Sep 23, 2009
- Last updated
- Sep 23, 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 | 8397 | MN | Primary |
Addresses
Primary practice location
29 Lake St S
Big Lake, MN 55309-4588
Mailing address
29 Lake Street So
Big Lake, MN 55309
Phone (320) 203-9045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8397 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Lake Spine & Sport, PA | 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": "1253664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253664000000",
"number": "1841524949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 LAKE STREET SO",
"city": "BIG LAKE",
"state": "MN",
"postal_code": "55309",
"telephone_number": "320-203-9045",
"fax_number": "320-203-9539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 LAKE ST S",
"city": "BIG LAKE",
"state": "MN",
"postal_code": "553094588",
"telephone_number": "763-263-3470",
"fax_number": "763-263-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAGER",
"first_name": "BETH",
"middle_name": "K",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-23",
"last_updated": "2009-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "8397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Big Lake, MN
- Nathan E. Davidson, DC
- Dental Services Inc (The Smile Center)
- Laura Ann Dill, DDS
- Reed Douglas Dill, DDS
- Jodi Leigh Donnay, MA LMFT
- Family Prospective Resources, Inc
- Foundational Evolutions LLC
- Fresenius Medical Care Centracare Dialysis, LLC (Fresenius Kidney Care Big Lake)
- Tricia Gallup, PT
- Amy Ann Glanz
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.