Active NPI
Stephanie J Barstad, PT
- Physical Therapist
- Grand Forks, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1507
- Practice address
- 2448 41St Ave S
Grand Forks, ND 58201-3463 - Phone
- (701) 885-4309
- NPI assigned
- Jul 17, 2008
- Last updated
- Jul 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, MN
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 70.028164 | IL | MD | Physical Therapist |
| 052116 | NY | MD | Physical Therapist |
| PT032167 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT Togo LLC | Current | Accepting new patients | |
| Home Therapy Solutions LLC | Physical Therapist | Current | 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.
-
- Occupational Therapist
- Thompson, ND
- NPI 1801376959
MN, Physical Therapist
-
- Physical Therapy Clinic/Center
- Grand Forks, ND
- NPI 1134794100
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.