Adrienne Erdmann
Individual provider Active NPI Physical Therapist · Fargo, ND
NPI 1013304435 · NPPES record last updated Mar 4, 2022
Key facts
- NPI
- 1013304435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1859 (ND)
- Practice address
- 2401 41St St S
Fargo, ND 58104-7783 - Phone
- (701) 478-7868
- NPI assigned
- Apr 23, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Apex Physical Therapy and Wellness Center PC
Practice addresses (Care Compare)
1420 9TH St E
Suite 401
West Fargo, ND 58078-3381
Phone (701) 364-2739
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160823002598 | TX | Practitioner - Physical Therapist in Private Practice | 4183919608 | Reassigns benefits to 1 organization |
| I20181219003150 | ND | Practitioner - Physical Therapist in Private Practice | 4183919608 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1859 | ND | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Physical Therapy and Wellness Center, PC | Physical Therapist | Current |
Accepting new patients |
| Big Stone Therapies Fargo, Inc | Physical Therapist | Current |
Accepting new patients |
| Quentin N Burdick Comprehensive Health Care Facility | Current |
Accepting new patients |
Locations
1300 Hospital Loop
Belcourt, ND 58316
4803 38th St S
Ste 102
Fargo, ND 58104
Phone (701) 639-0808
2401 41st St S
Fargo, ND 58104
Phone (701) 478-7868
1420 9th St E
Ste 401
West Fargo, ND 58078
Phone (701) 361-2739
350 23rd Ave E
West Fargo, ND 58078
Phone (701) 235-1924
645 33rd Ave E
West Fargo, ND 58078
Phone (701) 478-7868
4100 W 150th St
#3
Cleveland, OH 44135
500 Cross St
Big Stone Cty, SD 57216
Phone (605) 541-1140
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1859 | ND | Yes |
Addresses
Primary practice location
2401 41St St S
Fargo, ND 58104-7783
Mailing address
500 Cross St
Big Stone City, SD 57216-8237
Phone (605) 541-1140
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56773 | Medicaid | ND |
Other names
- Adrienne Davis
Other providers in Fargo, ND
- Entwine, LLC
- Erica Entzminger
- Brittany Enzminger
- Mary Katharine Epping
- Elizabeth Erber
- Kelli Erdmann
- Melissa R Erdmann
- Brian L Erenberg
- Lindsay Rae Erenberg
- Kathryn Rose Erhardt
All providers in Fargo, ND · Physical Therapist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2022. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.