Active NPI
Flourish Physical Therapy PLLC
- Pediatric Physical Therapist
- Fargo, ND
National Provider Identifier
1295541134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- Legal business name
- FLOURISH PHYSICAL THERAPY PLLC
- Practice address
- 303 Broadway N
Fargo, ND 58102-4753 - Phone
- (701) 367-8242
- NPI assigned
- Dec 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kaitlyn McClaflin, DPT
- Title
- Physical Therapist
- Phone
- (701) 367-8242
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | Primary |
Addresses
Primary practice location
303 Broadway N
Fargo, ND 58102-4753
Mailing address
1010 10TH St N
Moorhead, MN 56560-1552
Phone (701) 367-8242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
303 Broadway N
Fargo, ND 58102
Phone (701) 367-8242
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733356800000",
"number": "1295541134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 10TH ST N",
"city": "MOORHEAD",
"state": "MN",
"postal_code": "565601552",
"telephone_number": "701-367-8242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 BROADWAY N",
"city": "FARGO",
"state": "ND",
"postal_code": "581024753",
"telephone_number": "701-367-8242"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLOURISH PHYSICAL THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-05",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A",
"authorized_official_last_name": "MCCLAFLIN",
"authorized_official_first_name": "KAITLYN",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "701-367-8242",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.