Organization Active NPI

Southeast Therapy Services Inc

  • Physical Therapy Clinic/Center
  • Forman, ND
National Provider Identifier
1013926005
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SOUTHEAST THERAPY SERVICES INC
Practice address
336 Main Street
Forman, ND 58032-0184
Phone
(701) 724-3221
Fax
(701) 724-3222
NPI assigned
Aug 7, 2006
Last updated
Jun 9, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHEAST THERAPY SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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

Authorized official

Name
Theresa Kelly
Title
Administrator
Phone
(701) 742-3267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

336 Main Street
Forman, ND 58032-0184

Mailing address

PO Box 368
Oakes, ND 58474-0368
Phone (701) 742-3267

National Provider Directory

National Provider Directory
Part of
Southeast Theapy Servic

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1013926005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "OAKES",
            "state": "ND",
            "postal_code": "584740368",
            "telephone_number": "701-742-3267",
            "fax_number": "701-742-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 MAIN STREET",
            "city": "FORMAN",
            "state": "ND",
            "postal_code": "580320184",
            "telephone_number": "701-724-3221",
            "fax_number": "701-724-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST THERAPY SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHEAST THERAPY SERVICES INC",
        "enumeration_date": "2006-08-07",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "701-742-3267"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forman, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.