Chris A Gietzen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1383 Issued in ND

Practice address

606 1St St NW
Mandan, ND 58554-3121

Phone

(701) 667-0745

Fax

(701) 667-0707

NPI assigned

Apr 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of North Dakota School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dakota Physical Therapy P CGroup PAC ID 6002803566, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dakota Physical Therapy P C

  • Physical Therapy Clinic/Center
  • Mandan, ND
  • NPI 1740211267

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Dakota Physical Therapy, P C

  • Physical Therapy Clinic/Center
  • Bismarck, ND
  • NPI 1588797922
  NPD

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1205898319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 1ST ST NW",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543121",
            "telephone_number": "701-667-0745",
            "fax_number": "701-667-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 1ST ST NW",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543121",
            "telephone_number": "701-667-0745",
            "fax_number": "701-667-0707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 4th St NW",
            "address_purpose": "LOCATION",
            "city": "Steele",
            "state": "ND",
            "postal_code": "584827329",
            "country_code": "US",
            "telephone_number": "701-202-3280",
            "fax_number": "701-475-2022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W Century Ave",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585030913",
            "country_code": "US",
            "telephone_number": "701-355-1295",
            "fax_number": "701-323-7046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIETZEN",
        "first_name": "CHRIS",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORK FORCE SAFETY",
            "identifier": "030477097",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1463184",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIWEST",
            "identifier": "030477097",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54130",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "650024893",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Machelle Gerhardt
• Beverly Gerving
• Brandon J Gibson, LAPC
• Larry J Giese, MA
• Kenneth Gieser, PT
• Vincent Gillette
• Monique Gladue
• Jodi Lynn Glasser, OTRL
• Kelly Faye Glasser
• Keyona Chanell Gonzalez

• Physical Therapist in Mandan, ND
• Providers in Mandan, ND by specialty
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.