Organization Active NPI

FM Rehab Center Inc

  • Physical Therapist
  • Moorhead, MN
National Provider Identifier
1003023342
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6503 Issued in MN
Legal business name
FM REHAB CENTER INC
Practice address
312 Highway 75 N
Moorhead, MN 56560-2407
Phone
(218) 233-8544
Fax
(218) 233-8545
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paul Leslie Shogren, DC
Title
Owner
Phone
(218) 233-8544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 6503 MN Primary

Addresses

Primary practice location

312 Highway 75 N
Moorhead, MN 56560-2407

Mailing address

510 Sunset Dr
Oxbow, ND 58047-5012
Phone (701) 588-4195

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003023342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 SUNSET DR",
            "city": "OXBOW",
            "state": "ND",
            "postal_code": "580475012",
            "telephone_number": "701-588-4195",
            "fax_number": "701-588-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 HIGHWAY 75 N",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602407",
            "telephone_number": "218-233-8544",
            "fax_number": "218-233-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FM REHAB CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHOGREN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-233-8544",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "6503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.