Orthopedic & Sports Physical Therapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1180 Issued in ND

Legal business name

ORTHOPEDIC & SPORTS PHYSICAL THERAPY, INC

Practice address

5475 51St Ave S
Fargo, ND 58104-6014

Phone

(701) 403-9322

Fax

(218) 641-6625

NPI assigned

Aug 17, 2017

Last updated

Aug 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shawn Marie Krause-Roberts, PT, MPT, ATCNPI 1861449019

Title

President

Phone

(218) 641-7725

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Orthopedic & Sports Physical Therapy Inc.

  • Physical Therapist
  • Hankinson, ND
  • NPI 1225215338

  O20060627000363

  Same enrollment

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shawn Marie Krause Roberts, PT

  • Physical Therapist
  • Breckenridge, MN
  • NPI 1861449019
  Authorized official Same address or phone
• Peggy J Wasemiller, OT

  • Occupational Therapist
  • Wahpeton, ND
  • NPI 1225069693
  NPD

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502928000000",
    "number": "1063938447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 5TH ST N",
            "city": "BRECKENRIDGE",
            "state": "MN",
            "postal_code": "565201426",
            "telephone_number": "218-641-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 51ST AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046014",
            "telephone_number": "701-403-9322",
            "fax_number": "218-641-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC & SPORTS PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2017-08-17",
        "status": "A",
        "authorized_official_last_name": "KRAUSE-ROBERTS",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-641-7725",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, MPT, ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Orson
• Mason J Orth, D.C.
• Orthodontic Associates PC
• Orthopaedic Associates of Fargo
• Orthopaedic Associates of Fargo
• Orthopedic and Sport Medicine Specialists of Fargo LTD
• Hannah Osborn, PNP-PC
• Holly Osborn
• Andrew Wade Osburn, M.D.
• Osgood Eyecare Professionals, LLC

• 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 17, 2017; 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.

Verify at the official NPI Registry.