Sean Douglas Hilgenberg, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

113162 Issued in IA

Practice address

30 NE Fox Run TRL
Waukee, IA 50263-7102

Phone

(515) 606-4106

NPI assigned

Aug 16, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rebound in-Home TherapyGroup PAC ID 3375998891, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rebound in-Home Therapy

  • Rehabilitation Practitioner
  • Waukee, IA
  • NPI 1568246684

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1972083244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 NE FOX RUN TRL",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502637102",
            "telephone_number": "515-606-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NE FOX RUN TRL",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502637102",
            "telephone_number": "515-606-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILGENBERG",
        "first_name": "SEAN",
        "middle_name": "DOUGLAS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-16",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1195026",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "113162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaisha Heemskerk, D.D.S.
• Eric Dwayne Held, DPT
• Alexis T Hemsath
• Marissa Rae Hendriksen, PA-C
• Deidra Dunn Hibbing, PHARMD
• Breanna Hill
• Molly Hinchliff
• Jennifer L. Hohrmann, P.T.
• Sarah Campbell Holland, D.O.
• Cristina Lynn Holtorf, MSN, ARNP, FNP-BC

• Physical Therapist in Waukee, IA
• Providers in Waukee, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.