Stephanie J Barstad, PT
Individual provider Active NPI Physical Therapist · Grand Forks, ND
NPI 1124282215 · NPPES record last updated Jul 30, 2024
Key facts
- NPI
- 1124282215
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1507 (ND)
- Practice address
- 2448 41St Ave S
Grand Forks, ND 58201-3463 - Phone
- (701) 885-4309
- NPI assigned
- Jul 17, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- 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 LLC
Practice addresses (Care Compare)
Thompson, ND 58278
Phone (701) 554-0111
39725 255TH St SW
Fisher, MN 56723-9352
Phone (218) 230-2171
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ND, MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70.028164 | IL | MD | Physical Therapist |
| 12491 | MN | MD | Physical Therapist |
| 052116 | NY | MD | Physical Therapist |
| PT032167 | PA | MD | Physical Therapist |
| 1507 | ND | MD | Speech-Language Pathologist |
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
Specialties & licenses
| 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 | Yes |
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
- Stephanie J Rodman
Other providers in Grand Forks, ND
- Charlie Henry Barhorst
- Steven Barlow
- Shannon Marie Barnick
- Brenda Diane Barragan
- Morgan Barry
- Jeffrey Paul Barta
- Elise Joyann Bartel
- Hussain Basrawala
- Marc D. Basson
- Elizabeth Bates
All providers in Grand Forks, ND · Physical Therapist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.