Brekhus Wellness, PLLC
Organization Active NPI Physical Therapist · Devils Lake, ND
NPI 1124633227 · NPPES record last updated Sep 15, 2020
Key facts
- NPI
- 1124633227
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- BREKHUS WELLNESS, PLLC
- Practice address
- 210 Highway 2 W Ste 7
Devils Lake, ND 58301-2913 - Phone
- (701) 351-3907
- NPI assigned
- Sep 15, 2020
- Organization subpart
- No
Authorized official
- Name
- Jennifer Lee Brekhus, DPT
- Title
- Owner/Physical Therapist
- Phone
- (701) 351-3907
Practitioners 4
-
Sadie Myklebust, DPT
-
Jennifer Lee Nelson, DPT
-
Ashley Pederson, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201113000802 | ND | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 5294145637 |
Receives reassigned benefits from 4 practitioners Practice locations: Devils Lake, ND |
National Provider Directory
Locations
210 Highway 2 W
Devils Lake, ND 58301
210 Highway 2 W
Ste 7
Devils Lake, ND 58301
Phone (701) 351-3907
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
210 Highway 2 W Ste 7
Devils Lake, ND 58301-2913
Mailing address
121 Antler Dr
Devils Lake, ND 58301-8923
Phone (701) 351-3907
Other names
- Prime Therapy and Wellness
Other providers in Devils Lake, ND
- Samantha Bounds
- Patricia J Bradley
- Shera Jean Brandvold
- Channing Braun
- Tesha Lynn Brehm
- Madisyn Lou Brekke I
- Brenna Joy Dietitian, LLC
- Kristin Ann Brodell
- Tammy Brooks
- Alexis Nicole Brown
All providers in Devils Lake, 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 Sep 15, 2020. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.