ABC PEDIATRIC PHYSICAL THERAPY, LTD. (NPI# 1114074234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114074234 |
| Entity Type | Organization |
| Organization Name | ABC PEDIATRIC PHYSICAL THERAPY, LTD. |
| Practice Address |
7119 Maple Ln Horace ND 58047-4714 |
| Practice Telephone | 7012811864 |
| Practice Fax Number | 7012811924 |
| Mailing Telephone | 7012811864 |
| Mailing Fax Number | 7012811924 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BRIAN ALLEN BORCHARDT (PRESIDENT-OWNER) |
| Authorized Official Telephone | 7012811864 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
ND | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BLUE CROSS BLUE SHIELD | 5952001 | 01 |
| ND | 54528 | 05 | |
| HEALTH PARTNERS | 107037 | 01 | |
| CIGNA-PREFERRED ONE | 161391043815 | 01 |
| Street Address |
7119 MAPLE LN |
| City | HORACE |
| State | ND |
| Zip Code | 58047-4714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053468223 | Brian Allen Borchardt | Physical Therapist | 7119 Maple Ln, Horace, ND 58047-4714 | 2007-01-03 |
| 1780732883 | Susan Amy Speich | Physical Therapist | 7119 Maple Ln, Horace, ND 58047-4714 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033138789 | Michele Joanne Stroh | Occupational Therapist | 240 Chestnut Dr, Horace, ND 58047-4005 | 2006-07-19 |
| 1386668747 | Laura Guse | Physical Therapist | 240 Chestnut Dr, Horace, ND 58047-4005 | 2006-07-27 |
| 1184223893 | Eva Torres | Technician | 205 3rd St E, Horace, ND 58047-4611 | 2020-10-23 |
| 1437672136 | Horace Chiropractic PC | Chiropractor | 534 Main St N Unit A, Horace, ND 58047-4640 | 2017-07-25 |
| 1669704300 | Jonathan Bultema | Dentist | 594 Main St N, Horace, ND 58047-4640 | 2010-02-05 |
| 1487105276 | Maple Family Dental P.C. | Clinic/Center | 594 Main St N, Horace, ND 58047-4640 | 2016-10-18 |
| 1396050373 | Horace Family Chiropractic, PC | Chiropractor | 534 N Main St, Suite A, Horace, ND 58047-4640 | 2010-08-13 |
| 1710354519 | Wds, LLC | Health Maintenance Organization | 209 Oxbow Cir, Oxbow, ND 58047-5007 | 2015-08-27 |
| 1427242478 | Kevin Kalin Anderson | Occupational Therapist | 7409 Oak Ct, Horace, ND 58047-9531 | 2007-09-04 |
| 1598366882 | Aim Therapy Pllc | Physical Therapist | 7409 Oak Ct, Horace, ND 58047-9531 | 2020-11-04 |
| Find all providers in zip 58047 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659996924 | Encompass Therapy LLC | Clinic/Center | 600 2nd Ave N, Hettinger, ND 58639-7448 | 2020-06-12 |
| 1477112027 | Run Your Life LLC | Clinic/Center | 1751 36th Ave S Apt 105, Grand Forks, ND 58201-7347 | 2019-06-07 |
| 1497216246 | Elevate Physical Therapy and Performance, LLC | Clinic/Center | 3935 Dakota Dr, Grand Forks, ND 58201-3544 | 2019-03-26 |
| 1639650393 | Backstrom Physical Therapy LLC | Clinic/Center | 215 Highway 2 Sw Ste 103, Rugby, ND 58368-2407 | 2018-08-22 |
| 1144666934 | Rehab Visions | Clinic/Center | 2710 Chokecherry St, Williston, ND 58801-2926 | 2013-05-20 |
| 1225289341 | Jones Physical Therapy | Clinic/Center | 1415 Border Ln, Washburn, ND 58577-4153 | 2008-10-07 |
| 1275542268 | Southeast Therapy Services Inc | Clinic/Center | 100 1st Avenue Southwest, Omega City Plaza, Lamoure, ND 58458-0686 | 2006-08-07 |
| 1447200373 | Dsj Enterprises, LLC | Clinic/Center | 2945 N 11th St, Bismarck, ND 58503-0514 | 2006-05-11 |
| 1285194324 | Living Life Physical Therapy | Clinic/Center | 2311 Elk Dr, Minot, ND 58701-5633 | 2019-03-24 |
| 1649736422 | Kids In Motion Inc | Clinic/Center | 1702 E Main St # 103, Mandan, ND 58554-3818 | 2019-02-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.