Southeast Therapy Services Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SOUTHEAST THERAPY SERVICES INC

Practice address

102 10TH Avenue West
Lisbon, ND 58054-1097

Phone

(701) 683-2214

Fax

(701) 683-2130

NPI assigned

Aug 7, 2006

Last updated

Dec 2, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTHEAST THERAPY SERVICES INCAs reported in NPPES

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

Authorized official

Name

Theresa Kelly

Title

Administrator

Phone

(701) 742-3267

Specialties & licenses 1

Addresses

Other identifiers 3

Part of

Southeast Theapy Servic

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Southeast Therapy Services Inc

  • Physical Therapy Clinic/Center
  • Oakes, ND
  • NPI 1285608679
  NPPES parent name

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1356350342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "OAKES",
            "state": "ND",
            "postal_code": "584740368",
            "telephone_number": "701-742-3267",
            "fax_number": "701-742-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 10TH AVENUE WEST",
            "city": "LISBON",
            "state": "ND",
            "postal_code": "580541097",
            "telephone_number": "701-683-2214",
            "fax_number": "701-683-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST THERAPY SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHEAST THERAPY SERVICES INC",
        "enumeration_date": "2006-08-07",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "701-742-3267"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ND CLINIC#",
            "identifier": "1346002",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51787",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG3429",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cameron Jeanne Schroeder, DC
• Carly Jo Schultz, PA-C
• Barbara Sheets Olson, M.D.
• Sheyenne Valley Chiropractic Clinic Inc
• Southeast Medical Center PC
• Katie L Tanner, PA
• Kayla L Thompson
• Kara Tuhy, PHARM. D.
• Jonathan Tyre
• Stacey Maria Walton, PA-C

• Physical Therapy Clinic/Center in Lisbon, ND
• Providers in Lisbon, ND by specialty
• Physical Therapy Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.