Katie Brossart
Individual provider Active NPI Physical Therapist · Rugby, ND
NPI 1366053571 · NPPES record last updated Sep 12, 2025
Key facts
- NPI
- 1366053571
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2363 (ND)
- Practice address
- 2975 Highway 2 E
Rugby, ND 58368-7801 - Phone
- (701) 776-5455
- NPI assigned
- Aug 11, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Good Samaritan Hospital Association
Practice addresses (Care Compare)
301 Roosevelt Ave
Maddock, ND 58348-7138
Phone (701) 438-2555
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201016000319 | ND | Practitioner - Physical Therapist in Private Practice | 0446670236 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2363 | ND | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Hospital Association | Current |
Accepting new patients | |
| Good Samaritan Hospital Association | Current | Accepting new patients | |
| Good Samaritan Hospital Association | Past | Accepting new patients |
Locations
2975 Highway 2 E
Rugby, ND 58368
Phone (701) 776-5235
800 S Main Ave
Rugby, ND 58368
Phone (701) 776-5261
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2363 | ND | Yes |
Addresses
Primary practice location
2975 Highway 2 E
Rugby, ND 58368-7801
Mailing address
2975 Highway 2 E
Rugby, ND 58368-7801
Other providers in Rugby, ND
- John Melvin Brandt
- Kathy Jane Brandt
- Hannah Brossart
- Jenna Leigh Brossart
- Jennifer H Brossart
- Rachel Lynn Bruner
- Petra M Buch
- Stephanie F. Buckmier
- Bobbie M Burchinal
- Dianne M Burkhart
All providers in Rugby, ND · Physical Therapist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.