LIVING LIFE PHYSICAL THERAPY (NPI# 1285194324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285194324 |
Entity Type | Organization |
Organization Name | LIVING LIFE PHYSICAL THERAPY |
Practice Address |
2311 Elk Dr Minot ND 58701-5633 |
Mailing Address |
1720 Sundown Dr Minot ND 58701-8134 |
Practice Telephone | 7017206354 |
Practice Fax Number | 7018394076 |
Mailing Telephone | 7017206354 |
Mailing Fax Number | 7018394076 |
Enumeration Date | 2019-03-24 |
Last Update Date | 2019-07-02 |
Authorized Official Name | TERESSA BROCK (PHYSICAL THERAPIST/ OWNER) |
Authorized Official Telephone | 7017206354 |
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 |
Ambulatory Health Care Facilities |
Street Address |
2311 ELK DR |
City | MINOT |
State | ND |
Zip Code | 58701-5633 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699982835 | Teressa Mary Brock | Physical Therapist | 2311 Elk Dr, Minot, ND 58701-5633 | 2007-05-17 |
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 |
1265826036 | Premier Physical Therapy of North Dakota Pllc | Physical Therapist | 1715 South Broadway, Minot, ND 58701 | 2015-03-19 |
Find all providers in zip 58701 |
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 |
1649736422 | Kids In Motion Inc | Clinic/Center | 1702 E Main St # 103, Mandan, ND 58554-3818 | 2019-02-16 |
1487127825 | Countryside Physical Therapy, Pllc | Clinic/Center | 42 Central Ave S, Killdeer, ND 58640-4000 | 2019-01-08 |
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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.