Mark Ryan Geerdes, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2727 Issued in ND

Practice address

3161 43Rd St S
Fargo, ND 58104-8791

Phone

(701) 893-2639

Fax

(701) 893-2638

NPI assigned

Sep 29, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Body Works Physical Therapy LTDGroup PAC ID 2163618794, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Body Works Physical Therapy, LTD.

  • Physical Therapy Clinic/Center
  • Fargo, ND
  • NPI 1487960522
  Medicare reassignment Care Compare group NPD
• Body Works Physical Therapy, LTD.

  • Massage Therapist
  • Fargo, ND
  • NPI 1689085177
  NPD

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1033881990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 43RD ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048791",
            "telephone_number": "701-893-2639",
            "fax_number": "701-893-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 43RD ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048791",
            "telephone_number": "701-893-2639",
            "fax_number": "701-893-2638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3835 Supreme Ct NW Ste 2",
            "address_purpose": "LOCATION",
            "city": "Bemidji",
            "state": "MN",
            "postal_code": "566014485",
            "country_code": "US",
            "telephone_number": "218-444-8280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEERDES",
        "first_name": "MARK",
        "middle_name": "RYAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-29",
        "last_updated": "2024-08-09",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "2727",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12345",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bashir Gedi, DRIVER
• Kelsey Marie Gedrose, APRN, CNP
• Atom Geer
• Louis Hubert Geeraerts, MD
• Ana Geerdes
• Brittany Kay Geffre
• Jordyn Lea Irene Geffre
• Lois Carol Geffre, RN, BSN, CDCES
• Stefanie S Gefroh Ellison, MD
• Breyleigh Gegelman, DC

• Physical Therapist in Fargo, ND
• Providers in Fargo, ND by specialty
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.