Individual provider Active NPI

Paul Robert Duxbury, PT

  • Orthopedic Physical Therapist
  • Maplewood, MN
National Provider Identifier
1992774970
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1994 Issued in MN
Practice address
1560 Beam Ave
Suite D
Maplewood, MN 55109-1171
Phone
(651) 767-1756
Fax
(651) 968-5908
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1994 MN Primary

Addresses

Primary practice location

1560 Beam Ave
Suite D
Maplewood, MN 55109-1171

Mailing address

PO Box 86 SDS 12 2901
Minneapolis, MN 55486-2901
Phone (651) 968-5050

Other identifiers 1

IdentifierTypeStateIssuer
P00019018OtherMNRAILROAD MEDICARE

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

LicenseStateTypeSpecialty
1994MNMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256515200000",
    "number": "1992774970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86 SDS 12 2901",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554862901",
            "telephone_number": "651-968-5050",
            "fax_number": "651-968-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 BEAM AVE",
            "address_2": "SUITE D",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091171",
            "telephone_number": "651-767-1756",
            "fax_number": "651-968-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUXBURY",
        "first_name": "PAUL",
        "middle_name": "ROBERT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2009-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MN",
            "license": "1994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00019018",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.

Verify at the official NPI Registry.