Active NPI
Ann Hagen-Reinholt, PT
- Physical Therapist
- Garrison, ND
National Provider Identifier
1144430646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 626
- Practice address
- 407 3 Rd Ave SE
Garrison, ND 58540 - Phone
- (701) 463-2275
- Fax
- (701) 463-6569
- NPI assigned
- May 23, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 626 | ND | Primary |
Addresses
Primary practice location
407 3 Rd Ave SE
Garrison, ND 58540
Mailing address
PO Box 39
Garrison, ND 58540-0039
Phone (701) 463-2275
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23615 | Other | ND | BC BS ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 626 | ND | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144430646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 39",
"city": "GARRISON",
"state": "ND",
"postal_code": "585400039",
"telephone_number": "701-463-2275",
"fax_number": "701-463-6569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 3 RD AVE SE",
"city": "GARRISON",
"state": "ND",
"postal_code": "58540",
"telephone_number": "701-463-2275",
"fax_number": "701-463-6569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGEN-REINHOLT",
"first_name": "ANN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "626",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS ND",
"identifier": "23615",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Garrison, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.