Red Door Pediatric Therapy

LBN: Red Door Pediatric Therapy, Inc
Red Door Pediatric Therapy is an health care organization with primary practice located at 2625 N 19Th St , Bismarck ND 58503-0574. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is the primary health care specialty. Red Door Pediatric Therapy, Inc can be contacted via phone (701) 222-3175, or through Whitted, Tia-Lee via phone (701) 214-5617.

Contact Information

Primary practice address
2625 N 19Th St Bismarck ND 58503-0574
Phone: (701) 222-3175
Fax: (701) 222-3186
Website:
Map and Directions
Authorized official contact:
Name: Whitted, Tia-Lee
Phone: (701) 214-5617

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 908 North Dakota
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 862 North Dakota

Profile Details

NPI number 1639257033
LBN Legal business name Red Door Pediatric Therapy, Inc
DBA Doing business as Red Door Pediatric Therapy
Authorized official Whitted, Tia-Lee
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2006
Last updated Jun 4th, 2024 - about 2 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 1639257033 NPPES
North Dakota MEDICAID 1451283
North Dakota MEDICAID 1461975
North Dakota MEDICAID 1464388
North Dakota MEDICAID 1477997
North Dakota MEDICAID 1452040
North Dakota MEDICAID 1452184
North Dakota MEDICAID 1465122
North Dakota MEDICAID 1474097
North Dakota MEDICAID 1454142
North Dakota MEDICAID 1480013
North Dakota MEDICAID 1454300
North Dakota MEDICAID 1454897
North Dakota MEDICAID 1466654
North Dakota MEDICAID 1466867
North Dakota MEDICAID 1469028
North Dakota MEDICAID 1477918
North Dakota MEDICAID 1459816
North Dakota MEDICAID 1461503
North Dakota MEDICAID 1463121
North Dakota MEDICAID 1465117
North Dakota MEDICAID 1470224
North Dakota MEDICAID 1477950
North Dakota MEDICAID 1480766
North Dakota MEDICAID 1450786
North Dakota MEDICAID 1454835
North Dakota MEDICAID 1459139
North Dakota MEDICAID 1464384
North Dakota MEDICAID 1468739
North Dakota MEDICAID 1480833
North Dakota MEDICAID 1481160
North Dakota MEDICAID 1452036
North Dakota MEDICAID 1467615
North Dakota MEDICAID 1468069
North Dakota MEDICAID 1469164
North Dakota MEDICAID 1476591
North Dakota MEDICAID 1477752

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