Individual provider Active NPI

Grace Anne Faiman, DPT

  • Physical Therapist
  • Fargo, ND
National Provider Identifier
1215817135
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2952 Issued in ND
Practice address
3523 45TH St S Ste 136
Fargo, ND 58104-8962
Phone
(701) 347-1782
NPI assigned
Sep 3, 2025
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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 2952 ND Primary

Addresses

Primary practice location

3523 45TH St S Ste 136
Fargo, ND 58104-8962

Mailing address

638 Wyndemere Dr
West Fargo, ND 58078-4036
Phone (701) 630-5948

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251104002443 ND Practitioner - Physical Therapist in Private Practice 6901396431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of North Dakota School of Medicine, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4575 23Rd Ave S
Suite 400
Fargo, ND 58104-8783

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2952NDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Myna Therapy Services PLLC Physical Therapist CurrentSince Sep 2, 2025 Accepting new patients
Myna Early Intervention LLC CurrentSince Sep 2, 2025 Accepting new patients

Locations

4575 23rd Ave S
Ste 400
Fargo, ND 58104
Phone (701) 347-1782

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": "1756857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1215817135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 WYNDEMERE DR",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580784036",
            "telephone_number": "701-630-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3523 45TH ST S STE 136",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048962",
            "telephone_number": "701-347-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIMAN",
        "first_name": "GRACE",
        "middle_name": "ANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "2952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.