Bethany Van Dusseldorp
NPI 1477484228ActiveIndividual· Physical Therapist· Saint Cloud, MN
Physical Therapist with Centracare Clinic, practicing in Saint Cloud, Minnesota. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1477484228 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 28, 2026 |
| Last updated in NPPES | May 28, 2026 |
| Certified by provider | May 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MN) |
|---|
Education and affiliations
| Graduation year | 2026 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Centracare ClinicSaint Cloud, MN · 791 clinicians
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