Leanne E Gotvaslee
Individual provider Active NPI Physical Therapist · Minot, ND
NPI 1255582011 · NPPES record last updated Jun 6, 2025
Key facts
- NPI
- 1255582011
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1514 (ND)
- Practice address
- 801 21St Ave SE
Minot, ND 58701-6064 - Phone
- (701) 838-3033
- NPI assigned
- Oct 9, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Bismarck
Practice addresses (Care Compare)
801 21St Ave SE
Minot, ND 58701-6064
Phone (701) 838-3150
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081106000351 | ND | Practitioner - Physical Therapist in Private Practice | 1052470903 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1514 | ND | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 360 Physical Therapy | Physical Therapist | Current |
Accepting new patients |
| First Choice Physical Therapy, Inc | Physical Therapist | Current |
Accepting new patients |
| Sanford Bismarck | Current |
Accepting new patients | |
| Applied Medical, Inc | Physical Therapist | Past | Accepting new patients |
Locations
3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300
2900 10th St SW
Ste A
Minot, ND 58701
Phone (701) 839-4102
801 21st Ave SE
Minot, ND 58701
Phone (701) 838-3033
400 S Broadway
Ste B
Minot, ND 58701
Phone (406) 522-7488
2111 Landmark Cir NW
Ste B
Minot, ND 58703
Phone (701) 839-4102
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1514 | ND | Yes |
Addresses
Primary practice location
801 21St Ave SE
Minot, ND 58701-6064
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other providers in Minot, ND
- Kallie Nicole Goodman
- Sage Goodman
- Emily W Gorman
- Gayle Gorseth
- Shana Gottschall
- Sierra Nicole Gragg
- Meridith L Graham
- Michael Grant
- Annette Elizabeth Graven
- Heather Jean Gravley
All providers in Minot, ND · Physical Therapist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.