MRS. HEATHER RAE BENNINGTON (NPI# 1336417484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336417484 |
| Entity Type | Individual |
| Full Name | MRS. HEATHER RAE BENNINGTON |
| Other Name | MISS HEATHER RAE RISOVI |
| Credential | A.T.C., P.T. |
| Practice Address |
3838 12th Ave N Fargo ND 58102-2931 |
| Practice Telephone | 7012344703 |
| Mailing Telephone | 7012344703 |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 6950 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | 1321 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3838 12TH AVE N |
| City | FARGO |
| State | ND |
| Zip Code | 58102-2931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952336265 | Suzanne R Sandsmark | Physical Therapist | 3838 12th Ave N, Fargo, ND 58102-2931 | 2006-07-12 |
| 1245633460 | Karon Joyce Garrett | Nurse Practitioner | 3838 12th Ave N, Fargo, ND 58102 | 2014-10-01 |
| 1861801763 | Lisa Lynn Froemke | Physician Assistant | 3838 12th Ave N, Fargo, ND 58102-2931 | 2014-08-05 |
| 1255749024 | Bryce Nelson | Occupational Therapist | 3838 12th Ave N, Fargo, ND 58102-2931 | 2014-07-24 |
| 1619318847 | Nichole Sherry Palmer-george | Physical Therapist | 3838 12th Ave N, Fargo, ND 58102-2931 | 2013-07-16 |
| 1669600185 | Chantel Marie Frappier | Physical Therapist | 3838 12th Ave N, Fargo, ND 58102-2931 | 2009-06-23 |
| 1649300450 | Katie Margaret Layfield | Physical Therapist | 3838 12th Ave N, Fargo, ND 58102-2931 | 2007-03-07 |
| 1982747713 | Ann Margaret Burd | Physical Therapist | 3838 12th Ave N, Fargo, ND 58102-2931 | 2007-02-14 |
| 1952323974 | Sanford Clinic North | Clinic/Center | 3838 12th Ave N, Fargo, ND 58102-2931 | 2006-07-25 |
| 1255353744 | Jennifer L Dejong | Nurse Practitioner | 3838 12th Ave N, Fargo, ND 58102-2931 | 2006-07-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285924 | Shelley Dene Townsend-hansen | Dentist | 1017 Broadway N, Fargo, ND 58102 | 2020-11-04 |
| 1275190779 | Anthony Joseph Duncan | Student in an Organized Health Care Education/Training Program | 1919 Elm Streent North, Fargo, ND 58102 | 2019-05-21 |
| 1003472317 | Sadie Marie Nelson | Nurse Practitioner | Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 | 2019-05-13 |
| 1124523576 | Christopher Peroutka | Specialist/Technologist | 1300 17th Ave N, Fargo, ND 58102 | 2018-03-28 |
| 1205331873 | Nathan Koens | Specialist/Technologist | 1300 17th Avenue North, Fargo, ND 58102 | 2018-03-27 |
| 1376063370 | Abby Nicole Fredrickson | Student in an Organized Health Care Education/Training Program | 1919 Elm Street North, Fargo, ND 58102 | 2017-06-21 |
| 1780118331 | Stephanie Melquist | Internal Medicine | Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 | 2017-04-19 |
| 1104215623 | Justin Lervik | Social Worker | 211 Elm St. N, 122, Fargo, ND 58102 | 2015-01-21 |
| 1770919441 | Courtney Ann Simanski | Speech-Language Pathologist | 415 4th St. N., Fargo, ND 58102 | 2013-09-25 |
| 1821431206 | Lanell Staroba | Pharmacist | 706 D 38th St, Fargo, ND 58102 | 2013-04-16 |
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| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134538 | Elizabeth Emma Heintzman | Physical Therapist | 938 76th Ave S, Fargo, ND 58104-8029 | 2020-11-03 |
| 1477169068 | Meadowlark Home Therapy LLC | Physical Therapist | 3420 1st St N, Fargo, ND 58102-1107 | 2020-09-18 |
| 1992315543 | Connor Willis Teske | Physical Therapist | 3401 Bohnet Blvd N, Fargo, ND 58102-1248 | 2020-08-07 |
| 1043837347 | Pinnacle Therapy & Wellness, Pllc | Physical Therapist | 4500 36th Ave S Suite 100, Fargo, ND 58104 | 2020-07-02 |
| 1063938447 | Orthopedic & Sports Physical Therapy, Inc | Physical Therapist | 5475 51st Ave S, Fargo, ND 58104-6014 | 2017-08-17 |
| 1376091793 | Paul Mckay | Physical Therapist | 801 Broadway N., Fargo, ND 58122 | 2016-09-14 |
| 1801290150 | Mark Noah | Physical Therapist | 1720 South University, Fargo, ND 58122 | 2014-10-15 |
| 1245633486 | Diana Palm | Physical Therapist | 1720 University Drive South, Fargo, ND 58122 | 2014-10-02 |
| 1619379294 | Heather Eken | Physical Therapist | 1305 9th Ave S, Fargo, ND 58103-2501 | 2014-09-25 |
| 1184908113 | Alishia M Daily | Physical Therapist | 3060 Frontier Way S., Fargo, ND 58104 | 2011-10-10 |
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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.