PREMIER PHYSICAL THERAPY OF NORTH DAKOTA PLLC (NPI# 1265826036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265826036 |
| Entity Type | Organization |
| Organization Name | PREMIER PHYSICAL THERAPY OF NORTH DAKOTA PLLC |
| Practice Address |
1715 South Broadway Minot ND 58701 |
| Mailing Address |
1715 S Broadway Minot ND 58701 |
| Practice Telephone | 7015003582 |
| Mailing Telephone | 7015003582 |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-04-17 |
| Authorized Official Name | DR. BLERIM DIBRA (CLINIC DIRECTOR) |
| Authorized Official Telephone | 7015003582 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251S0007X |
Physical Therapist Specialization: Sports |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225XE1200X |
Occupational Therapist Specialization: Ergonomics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225XH1200X |
Occupational Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1715 SOUTH BROADWAY |
| City | MINOT |
| State | ND |
| Zip Code | 58701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767926 | Minot Commission On Aging, Inc | In Home Supportive Care | 21 1st Avenue Se, Minot, ND 58701 | 2020-10-16 |
| 1780207647 | Growing Together Inc | Counselor | 515 19 Ave Sw, Minot, ND 58701 | 2020-05-26 |
| 1144867847 | Sarah Howard | Registered Nurse | 1015 South Broadway, Ste. 2, Minot, ND 58701 | 2019-12-02 |
| 1962973453 | Julia Irene Lakoduk | Speech-Language Pathologist | Bell Elementary, 5901 Us-52, Minot, ND 58701 | 2018-12-10 |
| 1073000469 | Goodman Addiction Services | Counselor | 1809 South Broadway Suite S., Minot, ND 58701 | 2018-04-20 |
| 1811405988 | Mackenzie J Jones Pllc | Chiropractor | 1407 S Broadway Ste 123, Minot, ND 58701 | 2018-01-11 |
| 1265957617 | Cassandra Czerwonka | Behavioral Analyst | 1408 20th Ave Sw, Suite 7, Minot, ND 58701 | 2017-08-07 |
| 1689197493 | Rem North Dakota | Intermediate Care Facility, Mentally Retarded | 1905 2nd Street Se, Suite 1a, Minot, ND 58701 | 2017-07-24 |
| 1558890236 | Timothy J Corrigan | Chiropractor | 1418 S Broadway Ste C, Minot, ND 58701 | 2017-06-07 |
| 1205229226 | Faye Weiss, Rn,cns,pc | Clinic/Center | 129 18th St. Sw, Minot, ND 58701 | 2015-03-16 |
| Find all providers in zip 58701 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588175061 | Total Balance Physical Therapy and Fitness, LLC | Physical Therapist | 1461 Broadway N Ste 106, Fargo, ND 58102-2622 | 2017-10-23 |
| 1801349550 | Kyle Blumenshine | Physical Therapist | 1008 10th St Se, Jamestown, ND 58401-7207 | 2016-07-29 |
| 1720637630 | Samantha Jo Spaeth | Physical Therapist | 1461 Broadway N, Fargo, ND 58102-2622 | 2019-09-04 |
| 1699256537 | Michael Miller | Physical Therapist | 2615 Fairway St, Dickinson, ND 58601-2590 | 2018-08-28 |
| 1841693579 | Shayne Marc Spokely | Physical Therapist | 736 Broadway N, Fargo, ND 58102-4421 | 2014-10-08 |
| 1821491614 | Scott Brown | Physical Therapist | 2990 Seter Pkwy S, Fargo, ND 58104-8692 | 2014-10-07 |
| 1558764365 | Mark Brenner | Physical Therapist | 736 Broadway, Physical Therapy, Fargo, ND 58102-1031 | 2014-10-07 |
| 1942603279 | Brian Alan Skjerseth | Physical Therapist | 736 Broadway N, Fargo, ND 58102-4421 | 2014-10-01 |
| 1083017370 | Jennifer Lynn Lamp | Physical Therapist | 736 Broadway N, Fargo, ND 58102-4421 | 2014-10-01 |
| 1780087015 | Greg Grenz | Physical Therapist | 736 Broadway N, Fargo, ND 58102-4421 | 2014-10-01 |
| 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.