MRS. CAROLINE MAE ANDERSON (NPI# 1407213879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407213879 |
| Entity Type | Individual |
| Full Name | MRS. CAROLINE MAE ANDERSON |
| Credential | ATC, PTA |
| Practice Address |
1 Burdick Expy W Minot ND 58701-4406 |
| Mailing Address |
3564 Highway 41 Velva ND 58790-9172 |
| Practice Telephone | 7013382984 |
| Mailing Telephone | 7013382984 |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 0872 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
076-90 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922420652 | Caroline Anderson | Home Health Aide | 6209 Erland Way, Lanham, MD 20706-2481 | 2014-01-15 |
| 1679713747 | Caroline Anderson | Nurse Practitioner | 278 S Main St, Baxley, GA 31513-0102 | 2009-03-02 |
| 1730740028 | Caroline Goudelock Anderson | Counselor | 1200 Division St Ste 405, Nashville, TN 37203-4495 | 2019-06-26 |
| 1265913297 | Caroline Julie Anderson | Registered Nurse | 5905 O St, Lincoln, NE 68510-2235 | 2018-08-27 |
| 1548715766 | Caroline Anderson | Nurse Anesthetist, Certified Registered | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2016-08-17 |
| 1689127557 | Caroline Anderson | Occupational Therapist | 812 Shepard St, Morehead City, NC 28557-4250 | 2016-07-27 |
| Street Address |
1 BURDICK EXPY W |
| City | MINOT |
| State | ND |
| Zip Code | 58701-4406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558346882 | Brian Tin-maung | Anesthesiology | 1 Burdick Expy W, Minot, ND 58701-4406 | 2005-12-09 |
| 1972117927 | Rachel Schaan | Pharmacist | 1 Burdick Expy W, Minot, ND 58701-4406 | 2020-09-06 |
| 1184237471 | Michael Donald Peterson | Pharmacist | 1 Burdick Expy W, Minot, ND 58701-4406 | 2020-08-26 |
| 1760005391 | Kennedi Marie Kautzman | Occupational Therapist | 1 Burdick Expy W, Minot, ND 58701-4406 | 2020-05-18 |
| 1417593781 | Alicia Brianne Paulson | Occupational Therapist | 1 Burdick Expy W, Minot, ND 58701-4406 | 2019-11-21 |
| 1558914267 | Keeley Walker | Nurse Anesthetist, Certified Registered | 1 Burdick Expy W, Minot, ND 58701-4406 | 2019-07-22 |
| 1073171864 | Alicia Flesner | Nurse Practitioner | 1 Burdick Expy W, Minot, ND 58701-4406 | 2019-06-05 |
| 1629636204 | Trinity Health | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1 Burdick Expy W, Minot, ND 58701-4406 | 2019-05-30 |
| 1649764770 | Dwight Remington | Nurse Practitioner | 1 Burdick Expy W, Minot, ND 58701-4406 | 2018-06-21 |
| 1104334564 | Tessa M Hartmann | Nurse Anesthetist, Certified Registered | 1 Burdick Expy W, Minot, ND 58701-4406 | 2018-01-18 |
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| 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 |
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| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) 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 |
|---|---|---|---|---|
| 1669871125 | Sarah Kemp | Physical Therapy Assistant | 117 Harris Rd, Minot, ME 04258-4244 | 2014-08-20 |
| 1174082689 | Brandi Elizabeth Dearing | Physical Therapy Assistant | 600 Main St S, Minot, ND 58701-4499 | 2019-03-14 |
| 1013476530 | Sierra Nicole Gragg | Physical Therapy Assistant | 600 Main St S, Minot, ND 58701-4499 | 2019-03-14 |
| 1376002899 | Colleen Leatha Feller | Physical Therapy Assistant | 600 Main St S, Minot, ND 58701-4499 | 2019-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114548955 | Untied Therapy, Pllc | Physical Therapy Assistant | 14065 69th St Nw, Williston, ND 58801-8947 | 2020-05-04 |
| 1457997504 | Brianna Olson | Physical Therapy Assistant | 1307 4th Ave E, West Fargo, ND 58078-2151 | 2019-11-25 |
| 1780247023 | Keith Kirimi Ndege | Physical Therapy Assistant | 5225 23rd Ave South, Fargo, ND 58104 | 2019-04-22 |
| 1740757541 | Nicole Marie Folston | Physical Therapy Assistant | 1461 Broadway N, Fargo, ND 58102-2622 | 2018-10-30 |
| 1770951766 | Debra Vaagen | Physical Therapy Assistant | 306 Rayjay Cir, Taylor, ND 58656-7130 | 2015-09-08 |
| 1356772685 | Valerie Lynn Halonen | Physical Therapy Assistant | 30 W 7th St, St Josephs Hospital and Health Center, Dickinson, ND 58601 | 2013-12-12 |
| 1568712107 | Cassie B Christensen | Physical Therapy Assistant | 7114 110th Ave Se, Verona, ND 58490-9325 | 2012-09-11 |
| 1689953036 | Timothy Lee Ulledahl | Physical Therapy Assistant | 1833 East Bismarck Expressway, Bismarck, ND 58554 | 2011-08-16 |
| 1285842765 | Amanda Caroline Ostlie | Physical Therapy Assistant | 1809 5th Ave N, Grand Forks, ND 58203 | 2007-05-18 |
| 1538385844 | Michelle Catherine Stach | Physical Therapy Assistant | 1307 4 Ave North, Wahpeton, ND 58075 | 2007-04-17 |
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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.