Charity Anne Harstad, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1233 Issued in ND

Practice address

911 West Interstate Avenue
Suite 12 BLDG 3
Bismarck, ND 58501

Phone

(701) 223-8717

Fax

(701) 255-3957

NPI assigned

Aug 25, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Charity Iverson Former name

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Lights Physical Therapy Limited PartnershipGroup PAC ID 2163557208, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Northern Lights Physical Therapy Limited Partnership

  • Physical Therapist
  • Bismarck, ND
  • NPI 1760613632

  ND, Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1295968220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 WEST INTERSTATE AVENUE",
            "address_2": "SUITE 12 BLDG 3",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58501",
            "telephone_number": "701-223-8717",
            "fax_number": "701-255-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 WEST INTERSTATE AVENUE",
            "address_2": "SUITE 12 BLDG 3",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58501",
            "telephone_number": "701-223-8717",
            "fax_number": "701-255-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARSTAD",
        "first_name": "CHARITY",
        "middle_name": "ANNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARITY",
            "last_name": "IVERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Arnette G. Harris, OTR/L
• Kari Lynn Harris, DPT, MPT
• Kristi Harris
• Maegan Harris
• Rebecca Rae Harrison, LBSW
• Eric M Hart, D.P.M.
• Mark B Hart, MD
• Denise Harvey, LCW,CRC
• Autumne Haskell, PT, DPT
• Navalyn Hassel

• All providers in Bismarck, ND
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.