Dakota Physical Therapy Pc

LBN: Dakota Physical Therapy Pc
Dakota Physical Therapy Pc is an health care organization with primary practice located at 606 1St St Nw , Mandan ND 58554-3121. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Ambulatory Health Care Facilities / Physical Therapy. Ambulatory Health Care Facilities / Physical Therapy is the primary health care specialty. Dakota Physical Therapy Pc can be contacted via phone (701) 667-0745, or through Bergan, Chad M via phone (701) 667-0745.

Contact Information

Primary practice address
606 1St St Nw Mandan ND 58554-3121
Phone: (701) 667-0745
Fax: (701) 667-0707
Website:
Map and Directions
Authorized official contact:
Name: Bergan, Chad M
Phone: (701) 667-0745

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X North Dakota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X North Dakota
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1740211267
LBN Legal business name Dakota Physical Therapy Pc
DBA Doing business as
Authorized official Bergan, Chad M
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2006
Last updated Jun 10th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740211267 NPPES
North Dakota Other 650024893 PALMETTO GBA
North Dakota MEDICAID 1460162 PALMETTO GBA
North Dakota Other 5397930001 PALMETTO GBA
North Dakota MEDICAID 54130 PALMETTO GBA
North Dakota Other 5470001 PALMETTO GBA

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