SOUTHEAST THERAPY SERVICES INC (NPI# 1639188626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639188626 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST THERAPY SERVICES INC |
| Practice Address |
69 Highway 13 W Gwinner ND 58040-4127 |
| Mailing Address |
Po Box 368 Oakes ND 58474-0368 |
| Practice Telephone | 7016782263 |
| Practice Fax Number | 7016832063 |
| Mailing Telephone | 7017423267 |
| Mailing Fax Number | 7017423201 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2008-08-07 |
| Authorized Official Name | THERESA KELLY (ADMINISTRATOR) |
| Authorized Official Telephone | 7017423267 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHEAST THERAPY SERVICES INC |
| 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 |
|---|---|---|---|
| BCBS ND CLINIC NUMBER | 1346005 | 01 | |
| ND | 51787 | 05 | |
| 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 |
| 1285608679 | Southeast Therapy Services Inc | Clinic/Center | 420 South 7th Street, Oakes, ND 58474-2024 | 2006-02-14 |
| Street Address |
69 HIGHWAY 13 W |
| City | GWINNER |
| State | ND |
| Zip Code | 58040-4127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780690305 | Sanford Clinic North | Clinic/Center | 69 Highway 13 W, Gwinner, ND 58040-4127 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235375049 | Waswick Chiropractic | Chiropractor | 10 N. Main St., Gwinner, ND 58040 | 2008-12-29 |
| 1629131891 | Gerald Milton Waswick I | Chiropractor | 10 North Main Street, Gwinner, ND 58040-0147 | 2006-12-19 |
| 1285656389 | Tara L Nogowski | Speech-Language Pathologist | 11 North Main Street, Gwinner, ND 58040-0586 | 2006-07-25 |
| 1720016017 | Roberta M Lucio | Physical Therapist | 11 North Main St, Gwinner, ND 58040-0586 | 2006-06-28 |
| 1063731180 | Ryan Richard Lorenz | Physical Therapist | 11 N Main St, Gwinner, ND 58040-0586 | 2010-05-28 |
| 1073663415 | Susan D Lee | Occupational Therapy Assistant | 11 North Main Street, Gwinner, ND 58040-0586 | 2007-01-10 |
| 1740342666 | Christopher Michael Nenow | Physical Therapist | 11 North Main Street, Gwinner, ND 58040-0586 | 2006-12-15 |
| 1093744377 | Treena Radermacher | Occupational Therapist | 11 North Main St, Gwinner, ND 58040-0586 | 2006-06-30 |
| 1497278667 | Andrew Randall | Physical Therapist | 11 N Main St, Gwinner, ND 58040-4001 | 2017-07-19 |
| 1215361803 | Paul Shanenko | Physical Therapist | 11 N Main St, Gwinner, ND 58040-4001 | 2013-08-30 |
| Find all providers in zip 58040 | ||||
| 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.