Individual provider Active NPI

Erica Elise Hjelmstad

  • Physical Therapist
  • Minot, ND
National Provider Identifier
1215385349
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1951 Issued in ND
Practice address
2111 Landmark Cir
B
Minot, ND 58703-1967
Phone
(701) 839-4102
Fax
(701) 838-9603
NPI assigned
May 31, 2016
Last updated
May 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1951 ND Primary

Addresses

Primary practice location

2111 Landmark Cir
B
Minot, ND 58703-1967

Mailing address

2111 Landmark Cir
B
Minot, ND 58703-1967
Phone (701) 839-4102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160622002689 ND Practitioner - Physical Therapist in Private Practice 0941591978 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physical Therapy, Inc Physical Therapist CurrentSince May 31, 2016 Accepting new patients
360 Physical Therapy Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients

Locations

2111 Landmark Cir NW
Ste B
Minot, ND 58703
Phone (701) 839-4102

2900 10th St SW
Ste A
Minot, ND 58701
Phone (701) 839-4102

400 S Broadway
Ste B
Minot, ND 58701
Phone (406) 522-7488

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1215385349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 LANDMARK CIR",
            "address_2": "B",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587031967",
            "telephone_number": "701-839-4102",
            "fax_number": "701-838-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 LANDMARK CIR",
            "address_2": "B",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587031967",
            "telephone_number": "701-839-4102",
            "fax_number": "701-838-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HJELMSTAD",
        "first_name": "ERICA",
        "middle_name": "ELISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.