Individual provider Active NPI

Stephanie J Barstad, PT

  • Physical Therapist
  • Grand Forks, ND
National Provider Identifier
1124282215
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1507 Issued in ND
Practice address
2448 41St Ave S
Grand Forks, ND 58201-3463
Phone
(701) 885-4309
NPI assigned
Jul 17, 2008
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 052116 NY
Physical Therapist 225100000X PT032167 PA
Physical Therapist 225100000X 70.028164 IL
Physical Therapist 225100000X
Physical Therapist 225100000X 12491 MN
Physical Therapist 225100000X 1507 ND Primary

Addresses

Primary practice location

2448 41St Ave S
Grand Forks, ND 58201-3463

Mailing address

65 E Wadsworth Park Dr Ste 230
Draper, UT 84020-8096
Phone (385) 308-8034

Other names 1

  • Stephanie J Rodman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081031000020 ND Practitioner - Physical Therapist in Private Practice 4789743071 Reassigns benefits to 1 organization
I20220114001640 MN Practitioner - Physical Therapist in Private Practice 4789743071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of North Dakota School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Home Therapy Solutions LLCGroup PAC ID 2365788569, 11 clinicians

Practice addresses (Care Compare)

Thompson, ND 58278
Phone (701) 554-0111

39725 255TH St SW
Fisher, MN 56723-9352
Phone (218) 230-2171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
70.028164ILMDPhysical Therapist
052116NYMDPhysical Therapist
PT032167PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT Togo LLC CurrentSince Feb 11, 2024 Accepting new patients
Home Therapy Solutions LLC Physical Therapist CurrentSince Jul 11, 2021 Accepting new patients

Locations

749 S 30th St
Apt 23
Grand Forks, ND 58201
Phone (218) 230-2171

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1124282215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 E WADSWORTH PARK DR STE 230",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208096",
            "telephone_number": "385-308-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 41ST AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582013463",
            "telephone_number": "701-885-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARSTAD",
        "first_name": "STEPHANIE",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052116",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032167",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "70.028164",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12491",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "RODMAN",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.