Stefanie Fragodt
Individual provider Active NPI Physical Therapist · Morris, MN
NPI 1366065013 · NPPES record last updated May 28, 2020
Key facts
- NPI
- 1366065013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 1001 Scotts Ave Ste 1
Morris, MN 56267-1763 - Phone
- (320) 585-5395
- NPI assigned
- May 28, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Big Stone Therapies, Inc
Practice addresses (Care Compare)
717 Atlantic Ave
Morris, MN 56267-1137
Phone (605) 541-1000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260313002446 | MN | Practitioner - Physical Therapist in Private Practice | 1355824764 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Stone Therapies, Inc | Physical Therapist | Current |
Accepting new patients |
Locations
717 Atlantic Ave
Morris, MN 56267
Phone (320) 585-7246
500 Cross St
Big Stone Cty, SD 57216
Phone (605) 541-1140
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
1001 Scotts Ave Ste 1
Morris, MN 56267-1763
Mailing address
500 Cross St
Big Stone City, SD 57216-8237
Phone (605) 541-1140
Other names
- Stefanie Morland
Other providers in Morris, MN
- Nicole Dougherty
- Venkatraman Duraiappa
- Lisa Engquist
- Megan Erickson
- Glenda Feist
- Kristi Kay Furrer
- Andrea Giambi
- Amee Gibson
- Jenny Gibson
- Edward Green
All providers in Morris, MN · Physical Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2020. 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.