Keli Nicole St. Clair, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1718 Issued in ND

Practice address

4674 40TH Ave S Ste a
Fargo, ND 58104

Phone

(701) 293-7294

Fax

(701) 282-9738

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of North Dakota School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prairie Orthopaedic and Plastic Surgery PCGroup PAC ID 0345344818, 23 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.31 of 100Reported as group

Quality

90

Promoting interoperability

100

Improvement activities

40

Cost

84.36

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.

• Prairie Orthopaedic & Plastic Surgery, P.C.

  • Orthopaedic Surgery Physician
  • Lincoln, NE
  • NPI 1639206147

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Prairie Orthopaedic & Plastic Surgery, PC

  • Durable Medical Equipment & Medical Supplies
  • Lincoln, NE
  • NPI 1174243489
  NPD
• Landers Physical Therapy Services, LLC

  • Physical Therapist
  • Covington, LA
  • NPI 1669524195
  NPD (past)
• Sports & More Physical Therapy, Inc.

  • Physical Therapist
  • Raleigh, NC
  • NPI 1134229669
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1215038971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4674 40TH AVE S STE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044501",
            "telephone_number": "701-293-7294",
            "fax_number": "701-282-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4674 40TH AVE S STE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58104",
            "telephone_number": "701-293-7294",
            "fax_number": "701-282-9738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4622 40th Ave S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581044394",
            "country_code": "US",
            "telephone_number": "701-293-7294",
            "fax_number": "701-282-9738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST. CLAIR",
        "first_name": "KELI",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "11340",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "PT07024",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tera Leigh St Pierre
• Aaron Scott St. Aubin
• St. Gabriel'S, LLC
• Elizabeth Jane St. Louis, D.C.
• Taylar Jane St. Louis
• St. Sophie'S, LLC
• St. Will'S, LLC

• Physical Therapist in Fargo, ND
• Providers in Fargo, 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 Jun 29, 2018; 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.