Active NPI
Steven Llewellyn Poissant, PT.,L., AC.,C.S.C.S
- Physical Therapist
- Fertile, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3093
- Practice address
- 208 N Mill St
Fertile, MN 56540-4328 - Phone
- (218) 945-3409
- Fax
- (218) 945-3588
- NPI assigned
- May 25, 2006
- Last updated
- Jun 20, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 1080 | MN | |
| Physical Therapist | 225100000X | 3093 | MN | Primary |
Addresses
Primary practice location
208 N Mill St
Fertile, MN 56540-4328
Mailing address
208 N Mill St
Fertile, MN 56540-4328
Phone (218) 945-3409
Other practice location 1
323 S Minnesota St
Crookston, MN 56716-1601
Phone (218) 281-9222
Other practice location 2
101 S Mill St
Fertile, MN 56540
Phone (218) 945-5620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 S Mill St
Fertile, MN 56540-4330
Phone (218) 281-9200
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.91 of 100
- Quality
- 88.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.95
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1080 | MN | MD | Acupuncturist |
| 3093 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverview Healthcare Association | Current | Accepting new patients | |
| Riverview Healthcare Association | Current | Accepting new patients | |
| Riverview Healthcare Association | Current | Accepting new patients |
Locations
323 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9200
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- East Grand Forks, MN
- NPI 1811918436
-
- Critical Access Hospital
- Crookston, MN
- NPI 1477525566
-
dba RiverView Rehab Services Fertile
- Physical Therapy Clinic/Center
- Fertile, MN
- NPI 1659045987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655683200000",
"number": "1053367029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 N MILL ST",
"city": "FERTILE",
"state": "MN",
"postal_code": "565404328",
"telephone_number": "218-945-3409",
"fax_number": "218-945-3588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 N MILL ST",
"city": "FERTILE",
"state": "MN",
"postal_code": "565404328",
"telephone_number": "218-945-3409",
"fax_number": "218-945-3588"
}
],
"practiceLocations": [
{
"address_1": "323 S Minnesota St",
"address_purpose": "LOCATION",
"city": "Crookston",
"state": "MN",
"postal_code": "567161601",
"country_code": "US",
"telephone_number": "218-281-9222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 S Mill St",
"address_purpose": "LOCATION",
"city": "Fertile",
"state": "MN",
"postal_code": "56540",
"country_code": "US",
"telephone_number": "218-945-5620",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POISSANT",
"first_name": "STEVEN",
"middle_name": "LLEWELLYN",
"name_prefix": "Mr.",
"credential": "PT.,L., AC.,C.S.C.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2022-06-20",
"certification_date": "2022-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MN",
"license": "1080",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "3093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fertile, MN
- Handi-Van Transport, Inc.
- Hanson Chiropractic Clinic PA
- Dennis D Hanson, DC
- Noah Jack Hanson
- Wendy Kircher
- Tammie Radermacher, LPN/HOUSING MANAGER
- Riverview Healthcare Association (RiverView Rehab Services Fertile)
- Riverview Healthcare Association
- Thrifty Drug Stores Inc (Thrifty White Drug #750)
- Village of Fertile
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.