Individual provider Active NPI

Dakota Claren Tweed, PT

  • Physical Therapist
  • Jamestown, ND
National Provider Identifier
1265960918
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2112 Issued in ND
Practice address
701 3Rd St NW
Jamestown, ND 58401
Phone
(701) 751-6336
NPI assigned
May 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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 2112 ND Primary

Addresses

Primary practice location

701 3Rd St NW
Jamestown, ND 58401

Mailing address

701 3Rd St NW
PO Box 8000
Jamestown, ND 58402
Phone (701) 751-6336

Other identifiers 1

IdentifierTypeStateIssuer
1471299MedicaidND

Other names 1

  • Dakota Claren Anderson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181016001389 ND Practitioner - Physical Therapist in Private Practice 7810249026 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2112NDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Carlsen Center for Children CurrentSince Dec 16, 2020 Accepting new patients
Anne Carlsen Center Physical Therapist CurrentSince Sep 16, 2022 Accepting new patients

Locations

701 3rd St NW
Jamestown, ND 58401
Phone (701) 252-3850

2200 20th St SW
Jamestown, ND 58401
Phone (701) 252-3850

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1265960918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 3RD ST NW",
            "address_2": "PO BOX 8000",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "58402",
            "telephone_number": "701-751-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 3RD ST NW",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "58401",
            "telephone_number": "701-751-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWEED",
        "first_name": "DAKOTA",
        "middle_name": "CLAREN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "2112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1471299",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAKOTA",
            "last_name": "ANDERSON",
            "middle_name": "CLAREN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jamestown, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.