Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bethany Van Dusseldorp

Individual provider Physical Therapist · NPI 1477484228

Bethany Van Dusseldorp is a Physical Therapist in Private Practice in Saint Cloud, Minnesota. Registered with an NPI since 2026.

In the registry since
2026
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Practice location Address checks out

1900 Centracare Cir
Saint Cloud, MN 56303-5000
Phone: (320) 252-2422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1477484228
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 28, 2026
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026
Mailing address551 Victory Ave Apt 213, Sartell, MN 56377-4799

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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