Individual provider Active NPI

Leanne E Gotvaslee

  • Physical Therapist
  • Minot, ND
National Provider Identifier
1255582011
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1514 Issued in ND
Practice address
801 21St Ave SE
Minot, ND 58701-6064
Phone
(701) 838-3033
NPI assigned
Oct 9, 2008
Last updated
Jun 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 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 1514 ND Primary

Addresses

Primary practice location

801 21St Ave SE
Minot, ND 58701-6064

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081106000351 ND Practitioner - Physical Therapist in Private Practice 1052470903 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford BismarckGroup PAC ID 9739098575, 562 clinicians

Practice addresses (Care Compare)

801 21St Ave SE
Minot, ND 58701-6064
Phone (701) 838-3150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1514NDMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physical Therapy, Inc Physical Therapist CurrentSince Aug 23, 2018 Accepting new patients
360 Physical Therapy Physical Therapist CurrentSince Jan 3, 2022 Accepting new patients
Sanford Bismarck CurrentSince May 5, 2025 Accepting new patients
Applied Medical, Inc Physical Therapist Past Accepting new patients

Locations

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

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 (701) 852-5040

801 21st Ave SE
Minot, ND 58701
Phone (701) 838-3033

Organizations & group practices 4

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": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1255582011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 21ST AVE SE",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016064",
            "telephone_number": "701-838-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTVASLEE",
        "first_name": "LEANNE",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1514",
            "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 Jun 6, 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.