Achieve Therapy LLC – Physical Therapist

Key facts

NPI: 1003145376
Entity type: Organization (NPI type 2)
Primary specialty: Physical Therapist 225100000X
Legal business name: ACHIEVE THERAPY LLC
Practice address: 1421 Central Ave NW
East Grand Forks, MN 56721-1617
Phone: (218) 773-3388
Fax: (218) 773-6611
NPI assigned: Dec 16, 2009
Organization subpart: No

Authorized official

Name: Michelle D Ellis, ATC PTC
Title: Office Manager
Phone: (218) 773-3388

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Achieve Therapy LLC Physical Therapist · East Grand Forks, MN · NPI 1407919210

Same enrollment O20150402000769
Achieve Therapy LLC Physical Therapy Clinic/Center · Detroit Lakes, MN · NPI 1578733671

Same enrollment O20150402000769

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Nicole J Chine, PT Physical Therapist · Grand Forks Afb, ND · NPI 1548370752

NPD PHYSICAL THERAPIST
Kacee Joyce McGough, PT Physical Therapist · Grand Forks, ND · NPI 1578304846

NPD PHYSICAL THERAPIST
Robin Catherine Tracy, PT, ATC Physical Therapist · Grand Forks, ND · NPI 1205919198

NPD PHYSICAL THERAPIST
Jamie Arola, PT, DPT Physical Therapist · Grand Forks, ND · NPI 1881094928

NPD (past) PHYSICAL THERAPIST

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MN

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20150402000769	MN	Part B Supplier - Physical/Occupational Therapy Group in Private Practice	6608762836	Receives reassigned benefits from 9 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: East Grand Forks, MN; Park Rapids, MN

National Provider Directory

Locations

1421 Central Ave NW
East Grand Forks, MN 56721
Phone (218) 773-3388

1425 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 746-8374

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist Group: 193400000X SINGLE SPECIALTY GROUP	225100000X			Yes

Addresses

Primary practice location

1421 Central Ave NW
East Grand Forks, MN 56721-1617

Mailing address

PO Box 12938
Grand Forks, ND 58208-2938
Phone (701) 746-8374

Other providers in East Grand Forks, MN

All providers in East Grand Forks, MN · Physical Therapist in Minnesota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.