Active NPI
Beth Nordmark, PT
- Physical Therapist
- Minot, ND
National Provider Identifier
1245658939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1441
- Practice address
- 1015 S Broadway
Minot, ND 58701-4667 - Phone
- (701) 857-5105
- Fax
- (701) 857-5646
- NPI assigned
- Mar 31, 2014
- Last updated
- Oct 29, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1441 | ND | Primary |
Addresses
Primary practice location
1015 S Broadway
Minot, ND 58701-4667
Mailing address
441 102ND St NW
Souris, ND 58783-9521
Phone (701) 295-2360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1441 | ND | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414540800000",
"number": "1245658939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 102ND ST NW",
"city": "SOURIS",
"state": "ND",
"postal_code": "587839521",
"telephone_number": "701-295-2360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 S BROADWAY",
"city": "MINOT",
"state": "ND",
"postal_code": "587014667",
"telephone_number": "701-857-5105",
"fax_number": "701-857-5646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORDMARK",
"first_name": "BETH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-31",
"last_updated": "2014-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "1441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minot, ND
- Nodak Angels LLC (Visiting Angels Minot)
- Brandon Noel
- Anastasia M Nolt
- Alicia Marie Norby, MD
- Margaret C Nordell, MD
- Thomas Scott Nordquist, DPM
- North Central Behavioral Health Clinic
- North Central Behavioral Health Clinic
- North Central Behavioral Health Clinic
- North Dakota Speech and Swallowing Specialists, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.