Southeast Therapy Services Inc
Organization Active NPI Physical Therapy Clinic/Center · Forman, ND
NPI 1013926005 · NPPES record last updated Jun 9, 2009
Key facts
- NPI
- 1013926005
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 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
- Organization subpart
- Yes
- Parent organization (as reported)
- SOUTHEAST THERAPY SERVICES INC
Authorized official
- Name
- Theresa Kelly
- Title
- Administrator
- Phone
- (701) 742-3267
Parent organization (reported in NPPES) 1
National Provider Directory
- Part of
- Southeast Theapy Servic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
336 Main Street
Forman, ND 58032-0184
Mailing address
PO Box 368
Oakes, ND 58474-0368
Phone (701) 742-3267
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55418 | Medicaid | ND | |
| CG3429 | Other | ND | RAILROAD MEDICARE |
| 1346004 | Other | ND | BCBS ND CLINIC# |
Other providers in Forman, ND
- Kelsy Martinson
- Sanford Medical Center Fargo
- Sargent County Ambulance Forman Squad
- Sargent County Social Services
- Nathan Wilbur Schlecht
All providers in Forman, ND · Physical Therapy Clinic/Center 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 Jun 9, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.