Active NPI
FM Rehab Center Inc
- Physical Therapist
- Moorhead, MN
National Provider Identifier
1003023342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6503
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryNPI 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.