Organization Active NPI

Recharge Physical Therapy and Wellness, PLLC

Doing business as Recharge Physical Therapy & Wellness

  • Physical Therapy Clinic/Center
  • Fargo, ND
National Provider Identifier
1306319389
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RECHARGE PHYSICAL THERAPY AND WELLNESS, PLLC
Doing business as
Recharge Physical Therapy & Wellness
Practice address
3491 University Dr S
Fargo, ND 58104-6225
Phone
(701) 412-1873
NPI assigned
Jan 2, 2019
Last updated
Aug 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Authorized official

Name
Mrs. Tara Marie Jaeger, PT, DPT, ATCNPI 1992113203
Title
Physical Therapist, Owner
Phone
(701) 412-1873

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)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

3491 University Dr S
Fargo, ND 58104-6225

Mailing address

3426 23Rd St S
Moorhead, MN 56560-5314
Phone (701) 412-1873

Other practice location 1

1518 29th Ave S
Moorhead, MN 56560-5128
Phone (701) 922-9288

Other names 1

  • Recharge Physical Therapy & Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190315001320 ND Part B Supplier - Clinic/Group Practice 1850631557 Receives reassigned benefits from 2 practitioners
Practice locations: Fargo, ND
O20251016001601 MN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1850631557 Receives reassigned benefits from 1 practitioner
Practice locations: Moorhead, MN

National Provider Directory

National Provider Directory

Locations

1518 29th Ave S
Moorhead, MN 56560
Phone (701) 922-9288

3491 University Dr S
Fargo, ND 58104
Phone (701) 412-1873

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1306319389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3426 23RD ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605314",
            "telephone_number": "701-412-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3491 UNIVERSITY DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581046225",
            "telephone_number": "701-412-1873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1518 29th Ave S",
            "address_purpose": "LOCATION",
            "city": "Moorhead",
            "state": "MN",
            "postal_code": "565605128",
            "country_code": "US",
            "telephone_number": "701-922-9288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RECHARGE PHYSICAL THERAPY AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "JAEGER",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "701-412-1873",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, DPT, ATC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recharge Physical Therapy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Recharge Physical Therapy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 29, 2025; 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.