Northwest Industrial Rehabilitation Services Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

6847 Issued in MN

Legal business name

NORTHWEST INDUSTRIAL REHABILITATION SERVICES INC.

Practice address

410 30TH Ave E
Suite 102
Alexandria, MN 56308-4769

Phone

(320) 763-5505

NPI assigned

Oct 27, 2006

Last updated

Jun 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Courtney Bergs

Title

Office Manager

Phone

(320) 763-5505

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrick Allen Bollinger, DPT

  • Physical Therapist
  • Alexandria, MN
  • NPI 1669559191
  Medicare reassignment Care Compare group NPD
• James M Olson, MAPT, MTC

  • Physical Therapist
  • Alexandria, MN
  • NPI 1326047879
  Medicare reassignment Care Compare group NPD
• Jacob Allen Wendland, D.P.T

  • Orthopedic Physical Therapist
  • Fergus Falls, MN
  • NPI 1285975078
  Medicare reassignment Care Compare group NPD
• Kaysie Hendrickson, DPT

  • Physical Therapist
  • Edina, MN
  • NPI 1205029493
  NPD (past)
• Heather A Walsh, DR. OF PT

  • Physical Therapist
  • Grand Forks, ND
  • NPI 1437158268
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1184700924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 30TH AVE E",
            "address_2": "SUITE 102",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563084769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 30TH AVE E",
            "address_2": "SUITE 102",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563084769",
            "telephone_number": "320-763-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST INDUSTRIAL REHABILITATION SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "BERGS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "320-763-5505"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MN",
            "license": "6847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "482487300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie M Nohre, APRN, CNP
• Erick William Nolting, DDS
• Gina Lynn Nordsiden-Brown, D.O.
• Kacie Norlien, LICSW
• Northway Academy, Inc.
• Larry Lee Novotny, DC
• Nurture Women's Therapy, LLC
• Andrea Nyberg, MA, OTR/L, CLT
• Hillary Renee O'Connor
• Oakdale Health Enterprises, Inc. (Oakdale Enterprises North Ambulance)

• Physical Therapy Clinic/Center in Alexandria, MN
• Providers in Alexandria, MN by specialty
• Physical Therapy Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.