Active NPI
Laurie Holte, PT
- Physical Therapist
- Grand Forks, ND
National Provider Identifier
1306903729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1244
- Practice address
- 3035 Demers Ave
Grand Forks, ND 58201-4040 - Phone
- (701) 746-6694
- Fax
- (701) 746-6894
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6885 | MN | |
| Physical Therapist | 225100000X | 1244 | ND | Primary |
Addresses
Primary practice location
3035 Demers Ave
Grand Forks, ND 58201-4040
Mailing address
1425 S Columbia Rd
Grand Forks, ND 58201-4039
Phone (701) 746-8374
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2147313 | Other | ND | FIRST HEALTH |
| 6404387 | Other | MN | MEDICA |
| 322R8HO | Other | MN | BCBSMN |
| 52613 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040305000056 | ND | Practitioner - Physical Therapist in Private Practice | 8022904259 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Achieve Therapy LLC
Practice addresses (Care Compare)
1425 S Columbia Rd
Grand Forks, ND 58201-4039
3035 Demers Ave
Grand Forks, ND 58201-4040
Phone (701) 746-6694
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1244 | ND | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achieve Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Achieve Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
1425 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 746-8374
3035 Demers Ave
Grand Forks, ND 58201
Phone (701) 746-6694
Organizations & group practices 3
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.
-
- Physical Therapist
- East Grand Forks, MN
- NPI 1407919210
-
- Physical Therapist
- Grand Forks, ND
- NPI 1346370640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1306903729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 S COLUMBIA RD",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014039",
"telephone_number": "701-746-8374",
"fax_number": "701-780-0885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3035 DEMERS AVE",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014040",
"telephone_number": "701-746-6694",
"fax_number": "701-746-6894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLTE",
"first_name": "LAURIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "6885",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "1244",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2147313",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6404387",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMN",
"identifier": "322R8HO",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "52613",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.