SOUTHEAST THERAPY SERVICES INC (NPI# 1285608679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285608679 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST THERAPY SERVICES INC |
| Practice Address |
420 South 7th Street Oakes ND 58474-2024 |
| Mailing Address |
Po Box 368 Oakes ND 58474-0368 |
| Practice Telephone | 7017423267 |
| Practice Fax Number | 7017423201 |
| Mailing Telephone | 7017423267 |
| Mailing Fax Number | 7017423201 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2008-08-07 |
| Authorized Official Name | TERESA KELLY (ADMINISTRATOR) |
| Authorized Official Telephone | 7017423267 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 51787 | 05 | |
| ND | BLUE SHIELD | 01346001 | 01 |
| ND | RAILROAD MEDICARE | CG3429 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275542268 | Southeast Therapy Services Inc | Clinic/Center | 100 1st Avenue Southwest, Omega City Plaza, Lamoure, ND 58458-0686 | 2006-08-07 |
| 1619986601 | Southeast Therapy Services Inc | Clinic/Center | 21 Wiley Avenue South, Lidgerwood, ND 58053-4001 | 2006-08-07 |
| 1356350342 | Southeast Therapy Services Inc | Clinic/Center | 102 10th Avenue West, Lisbon, ND 58054-1097 | 2006-08-07 |
| 1265441257 | Southeast Therapy Services Inc | Clinic/Center | 141 Main Street, Ellendale, ND 58436-7101 | 2006-08-07 |
| 1013926005 | Southeast Therapy Services Inc | Clinic/Center | 336 Main Street, Forman, ND 58032-0184 | 2006-08-07 |
| 1639188626 | Southeast Therapy Services Inc | Clinic/Center | 69 Highway 13 W, Gwinner, ND 58040-4127 | 2006-08-07 |
| Street Address |
420 SOUTH 7TH STREET |
| City | OAKES |
| State | ND |
| Zip Code | 58474-2024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073502357 | Brenda Reich | Physician Assistant | 420 South 7th Street, Oakes, ND 58474-2024 | 2005-10-19 |
| 1144235904 | Ryan Lagodinski | Physical Therapist | 420 South 7th Street, Oakes, ND 58474-2024 | 2006-07-30 |
| 1275563363 | Richard R Lauderdale | Physician Assistant | 420 South 7th Street, Oakes, ND 58474-2024 | 2006-07-04 |
| 1366416737 | Sanford Clinic North | Internal Medicine | 420 South 7th Street, Oakes, ND 58474-2024 | 2006-02-14 |
| 1396719795 | Regional Clinic Ltd | Clinic/Center | 420 South 7th Street, Oakes, ND 58474-2024 | 2006-02-14 |
| 1811986102 | Nancy Gulsvig | Physician Assistant | 420 South 7th Street, Oakes, ND 58474-2024 | 2005-10-19 |
| 1144219429 | Rose Stahlecker | Physician Assistant | 420 South 7th Street, Oakes, ND 58474-2024 | 2005-10-19 |
| 1225027519 | Loretta Pfeifer | Physician Assistant | 420 South 7th Street, Oakes, ND 58474-2024 | 2005-10-19 |
| 1205825593 | Karen Kaiser | Nurse Practitioner | 420 South 7th Street, Oakes, ND 58474-2024 | 2005-10-19 |
| 1831188127 | Vicki Hack | Physician Assistant | 420 South 7th Street, Oakes, ND 58474-2024 | 2005-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013435593 | Deanne Visto | Pharmacist | Oakes Drug 422 Main Avenue, Oakes, ND 58474 | 2017-09-05 |
| 1356414528 | Barbara Erlandson Lrd Pllc | Dietitian, Registered | 7890 Hwy 1, Oakes, ND 58474 | 2006-11-16 |
| 1811071541 | Nicole R Cline | Chiropractor | 9 N 5th St, Oakes, ND 58474-1208 | 2006-10-25 |
| 1568076909 | Tru Aesthetic and Wellness, Pllc | Nurse Practitioner | 9 N 5th St, Oakes, ND 58474-1208 | 2020-09-02 |
| 1700334927 | Back To Health PC | Chiropractor | 9 N 5th St, Oakes, ND 58474-1208 | 2016-09-16 |
| 1861599730 | Brian Lawrence Dethlefsen | Chiropractor | 14 N 5th St, Oakes, ND 58474-1209 | 2006-09-20 |
| 1376897033 | Dethlefsen Chiropractic | Chiropractor | 14 N 5th St, Oakes, ND 58474-1209 | 2012-11-02 |
| 1831161777 | Mark Michael Malmberg | Dentist | 19 N 6th St, Oakes, ND 58474-1214 | 2006-02-05 |
| 1205093416 | Dr Geoffrey Rath Optometrist PC | Optometrist | 409 Main Ave, Oakes, ND 58474-1240 | 2008-05-16 |
| 1821136524 | Geoffrey A Rath | Optometrist | 409 Main Ave, Oakes, ND 58474-1240 | 2007-02-02 |
| Find all providers in zip 58474 | ||||
| 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.