Individual provider Active NPI

Jodi Elizabeth Wolf, DPT

  • Physical Therapist
  • Bismarck, ND
National Provider Identifier
1245266717
Registry record updated Jan 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1230 Issued in ND
Practice address
1936 N 11TH St
Bismarck, ND 58501-1914
Phone
(701) 258-0029
Fax
(701) 258-0826
NPI assigned
Jun 24, 2006
Last updated
Jan 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2018

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 1230 ND Primary

Addresses

Primary practice location

1936 N 11TH St
Bismarck, ND 58501-1914

Mailing address

1936 N 11TH St
Bismarck, ND 58501-1914
Phone (701) 258-0029

Other identifiers 1

IdentifierTypeStateIssuer
6044727700MedicaidMN

Other names 1

  • Jodi Elizabeth Romsaas Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080821000630 ND Practitioner - Physical Therapist in Private Practice 8325013915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Chuppe Clinic PCGroup PAC ID 4385637891, 7 clinicians

Practice addresses (Care Compare)

1936 N 11TH St
Bismarck, ND 58501-1914
Phone (701) 258-0029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6771MNMDChiropractor
1230NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chuppe Clinic PC CurrentSince Jul 28, 2008 Accepting new patients
Central Dakota Radiologists PC PastSince Jul 28, 2008 Accepting new patients
Kent J. Erickson, D.C., CHTD PastSince Nov 1, 2006 Accepting new patients

Locations

1936 N 11th St
Bismarck, ND 58501
Phone (701) 258-0029

Organizations & group practices 3

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515715200000",
    "number": "1245266717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 N 11TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011914",
            "telephone_number": "701-258-0029",
            "fax_number": "701-258-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 N 11TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011914",
            "telephone_number": "701-258-0029",
            "fax_number": "701-258-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "JODI",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2018-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6044727700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "ROMSAAS",
            "middle_name": "ELIZABETH",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.