CORISSA RAE KRUSE (NPI# 1770011413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770011413 |
| Entity Type | Individual |
| Full Name | CORISSA RAE KRUSE |
| Practice Address |
115 Vivian St W Park River ND 58270-4540 |
| Mailing Address |
12823 Oak Grove Dr Thief River Falls MN 56701-8414 |
| Practice Telephone | 7012844570 |
| Practice Fax Number | 7012844581 |
| Mailing Telephone | 2186860188 |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2017-05-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 2011 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
115 VIVIAN ST W |
| City | PARK RIVER |
| State | ND |
| Zip Code | 58270-4540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417115981 | Joseph J Karas | Physical Therapist | 115 Vivian St W, Park River, ND 58270-4540 | 2008-05-30 |
| 1841850021 | Raevyn Haugland | Physical Therapist | 115 Vivian St W, Park River, ND 58270-4540 | 2019-06-19 |
| 1184190902 | Katerina M Hoime | Physical Therapist | 115 Vivian St W, Park River, ND 58270-4540 | 2018-10-18 |
| 1477933265 | Kassandra Jones | Physical Therapist | 115 Vivian St W, Park River, ND 58270-4540 | 2015-06-05 |
| 1508182684 | P R Health Corporation | Non-Pharmacy Dispensing Site | 115 Vivian St W, Park River, ND 58270-4540 | 2010-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740769595 | The Evangelical Lutheran Good Samaritan Society | Nurse Practitioner | 301 S Highway 12b, Park River, ND 58270 | 2018-08-13 |
| 1104317189 | Paul Benedict Dusek | Dentist | 321 Briggs Ave S Ste 3, Park River, ND 58270 | 2018-05-24 |
| 1669880845 | Lifetime Dental, PC | Clinic/Center | 321 Briggs Ave S, Suite 3, Park River, ND 58270 | 2014-07-31 |
| 1063850436 | Achieve Therapy LLC | Physical Therapist | 102 4th St W, Park River, ND 58270 | 2013-06-07 |
| 1740473800 | Riverview Healthcare Association | Clinic/Center | 115 Vivian St, Park River, ND 58270 | 2007-08-22 |
| 1285847269 | Brian James Larson | Dentist | 418 Briggs Ave S, Park River, ND 58270 | 2007-05-07 |
| 1033137070 | Roberta L Ekman | Dentist | 321 Briggs Ave, Park River, ND 58270 | 2006-07-17 |
| 1679128664 | Lyndsi E Klundt | Physical Therapist | 102 4th St W, Park River, ND 58270 | 2019-08-06 |
| 1508426735 | Allie Beneda | Physical Therapy Assistant | 115 Vivian St., Park River, ND 58270 | 2019-06-19 |
| 1770795767 | Laurelyn Joann Larson | Pharmacist | Highway 17, Park River, ND 58270 | 2007-05-04 |
| Find all providers in zip 58270 | ||||
| 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 |
|---|---|---|---|---|
| 1063850436 | Achieve Therapy LLC | Physical Therapist | 102 4th St W, Park River, ND 58270 | 2013-06-07 |
| 1417115981 | Joseph J Karas | Physical Therapist | 115 Vivian St W, Park River, ND 58270-4540 | 2008-05-30 |
| 1679128664 | Lyndsi E Klundt | Physical Therapist | 102 4th St W, Park River, ND 58270 | 2019-08-06 |
| 1841850021 | Raevyn Haugland | Physical Therapist | 115 Vivian St W, Park River, ND 58270-4540 | 2019-06-19 |
| 1184190902 | Katerina M Hoime | Physical Therapist | 115 Vivian St W, Park River, ND 58270-4540 | 2018-10-18 |
| 1477933265 | Kassandra Jones | Physical Therapist | 115 Vivian St W, Park River, ND 58270-4540 | 2015-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134538 | Elizabeth Emma Heintzman | Physical Therapist | 938 76th Ave S, Fargo, ND 58104-8029 | 2020-11-03 |
| 1235738972 | Tyler Chad Anderson | Physical Therapist | 701 3rd Ave Ne, Hillsboro, ND 58045-4618 | 2020-10-23 |
| 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 |
| 1467070417 | Niklaas Mattson | Physical Therapist | 307 7th St N, Wahpeton, ND 58075-4231 | 2020-07-07 |
| 1043837347 | Pinnacle Therapy & Wellness, Pllc | Physical Therapist | 4500 36th Ave S Suite 100, Fargo, ND 58104 | 2020-07-02 |
| 1396360830 | Keely J Hutchens | Physical Therapist | 2424 32nd Ave S Ste 103, Grand Forks, ND 58201-6509 | 2020-06-10 |
| 1760006183 | Mary L Hodges | Physical Therapist | 1515 2nd Ave W Apt 1013, Williston, ND 58801-4108 | 2020-06-01 |
| 1740820299 | Three In One Physical Therapy, Pllc | Physical Therapist | 207 Main Street North, Elgin, ND 58533 | 2020-01-13 |
| 1083268551 | Austin Schmidt | Physical Therapist | 4605 Haycreek Dr, Bismarck, ND 58503-8965 | 2019-08-01 |
| Find all providers with the same taxonomy | ||||
| City | PARK RIVER |
| Zip Code | 58270 |
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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.