Living Life Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

LIVING LIFE PHYSICAL THERAPY

Practice address

2311 Elk Dr
Minot, ND 58701-5633

Phone

(701) 720-6354

Fax

(701) 839-4076

NPI assigned

Mar 24, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Teressa Brock, PT

Title

Physical Therapist/ Owner

Phone

(701) 720-6354

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1553385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1285194324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 SUNDOWN DR",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587018134",
            "telephone_number": "701-720-6354",
            "fax_number": "701-839-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 ELK DR",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587015633",
            "telephone_number": "701-720-6354",
            "fax_number": "701-839-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING LIFE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-24",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "TERESSA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/ OWNER",
        "authorized_official_telephone_number": "701-720-6354",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lecia L Lintvelt, LCSW
• Elizabeth Chantel Lipinski
• Lipp Chiropractic Clinic, PC
• Steven J Lipp, DC
• Remza Little
• Eden Lizotte, SLP
• Brandon James Locke
• Eric Locken
• Dawn Lockrem
• Mary Elizabeth Logue, M.D.

• Physical Therapy Clinic/Center in Minot, ND
• Providers in Minot, ND by specialty
• Physical Therapy Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.