Organization Active NPI

Neighborhood Pediatric Therapy, PLLC.

  • Speech-Language Pathologist
  • Minot, ND
National Provider Identifier
1306544408
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
NEIGHBORHOOD PEDIATRIC THERAPY, PLLC.
Practice address
1015 S Broadway Ste 21B
Minot, ND 58701-4612
Phone
(701) 721-5957
NPI assigned
Feb 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Authorized official

Name
Mackenzie BachmeierNPI 1174971246
Title
Speech Language Pathologist
Phone
(701) 721-5957

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
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1015 S Broadway Ste 21B
Minot, ND 58701-4612

Mailing address

1501 Valley Bluffs Dr SE
Minot, ND 58701-7480
Phone (701) 721-5957

National Provider Directory

National Provider Directory

Locations

1015 S Broadway
Ste 21B
Minot, ND 58701
Phone (701) 721-5957

1115 16th St SW
Ste B
Minot, ND 58701
Phone (701) 837-8877

Practitioners & affiliated clinicians

Practitioners 4

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": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1306544408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 VALLEY BLUFFS DR SE",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587017480",
            "telephone_number": "701-721-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S BROADWAY STE 21B",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587014612",
            "telephone_number": "701-721-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD PEDIATRIC THERAPY, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "BACHMEIER",
        "authorized_official_first_name": "MACKENZIE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "701-721-5957"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.