Joan Lea Upton, PT
Individual provider Active NPI Physical Therapist · Hettinger, ND
NPI 1194766485 · NPPES record last updated Nov 4, 2020
Key facts
- NPI
- 1194766485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2412 (ND)
- Practice address
- 1000 Highway 12
Hettinger, ND 58639-7530 - Phone
- (701) 567-6044
- Fax
- (303) 409-2233
- NPI assigned
- Jun 9, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Encompass Therapy LLC
Practice addresses (Care Compare)
600 2ND Ave N
Hettinger, ND 58639-7448
Phone (701) 567-3749
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210118000036 | ND | Practitioner - Physical Therapist in Private Practice | 1052405263 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3528 | CO | MD | Physical Therapist |
| 2412 | ND | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Encompass Therapy LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3528 | CO | |
| Physical Therapist | 225100000X | 2412 | ND | Yes |
Addresses
Primary practice location
1000 Highway 12
Hettinger, ND 58639-7530
Mailing address
1000 Highway 12
Hettinger, ND 58639-7530
Phone (701) 567-6044
Other names
- Joan Lea Higman
Other providers in Hettinger, ND
- Catherine E Shirek
- Alex Thompson
- Kathleen Thompson
- Natalie Marie Thompson
- Frank A Thorngren
- Karen Elizabeth Weflen
- Stacie Marie Wellman
- West River Health Services
- West River Health Services
- West River Health Services
All providers in Hettinger, 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 Nov 4, 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.
- 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.