Individual provider Active NPI

Kristin Sorvig, PT

  • Physical Therapist
  • Horace, ND
National Provider Identifier
1295015642
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1676 Issued in ND
Practice address
534 Main St N
Unit B
Horace, ND 58047-4640
Phone
(701) 361-4984
NPI assigned
Aug 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8840 MN
Physical Therapist 225100000X 1676 ND Primary

Addresses

Primary practice location

534 Main St N
Unit B
Horace, ND 58047-4640

Mailing address

534 Main St N
Unit B
Horace, ND 58047-4640
Phone (701) 361-4984

Other identifiers 3

IdentifierTypeStateIssuer
0064-0013977OtherMNMEDICA
225100000XMedicaidMN
1295015642OtherMNBLUE CROSS BLUE SHIELD OF MN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211220001644 ND Practitioner - Physical Therapist in Private Practice 7719158617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of North Dakota School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bewell Physical Therapy PLLCGroup PAC ID 7416366059, 3 clinicians

Practice addresses (Care Compare)

534 Main St N
Unit B
Horace, ND 58047-4640
Phone (701) 361-4984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8840MNMDPhysical Therapist
1676NDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bewell Physical Therapy, PLLC Physical Therapist CurrentSince Nov 18, 2021 Accepting new patients
Yellow Rose Digital Therapy Physical Therapist CurrentSince Nov 18, 2021 Accepting new patients

Locations

534 Main St N
#B
Horace, ND 58047
Phone (701) 261-3022

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": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1295015642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 MAIN ST N",
            "address_2": "UNIT B",
            "city": "HORACE",
            "state": "ND",
            "postal_code": "580474640",
            "telephone_number": "701-361-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 MAIN ST N",
            "address_2": "UNIT B",
            "city": "HORACE",
            "state": "ND",
            "postal_code": "580474640",
            "telephone_number": "701-361-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORVIG",
        "first_name": "KRISTIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-17",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "8840",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "0064-0013977",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225100000X",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MN",
            "identifier": "1295015642",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Horace, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.