Active NPI
Paul Robert Duxbury, PT
- Orthopedic Physical Therapist
- Maplewood, MN
National Provider Identifier
1992774970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 1994
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00019018 | Other | MN | RAILROAD 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1994 | MN | MD | Psychologist |
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.