Active NPI
Connect Physical Therapy, PLLC
- Physical Therapist
- Fargo, ND
National Provider Identifier
1043837347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- CONNECT PHYSICAL THERAPY, PLLC
- Practice address
- 4500 36TH Ave S Suite 100
Fargo, ND 58104 - Phone
- (701) 680-7181
- NPI assigned
- Jul 2, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alison Fuhrman
- Title
- Owner
- Phone
- (701) 318-4731
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
4500 36TH Ave S Suite 100
Fargo, ND 58104
Mailing address
4500 36TH Ave S Suite 100
Fargo, ND 58104
Phone (701) 318-4731
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200917002086 | ND | Part B Supplier - Clinic/Group Practice | 0840618179 |
Receives reassigned benefits from 1 practitioner Practice locations: Fargo, ND |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634947200000",
"number": "1043837347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 36TH AVE S SUITE 100",
"city": "FARGO",
"state": "ND",
"postal_code": "58104",
"telephone_number": "701-318-4731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 36TH AVE S SUITE 100",
"city": "FARGO",
"state": "ND",
"postal_code": "58104",
"telephone_number": "701-680-7181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONNECT PHYSICAL THERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-02",
"last_updated": "2021-10-23",
"certification_date": "2021-08-11",
"status": "A",
"authorized_official_last_name": "FUHRMAN",
"authorized_official_first_name": "ALISON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "701-318-4731"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.