Individual provider Active NPI

Cheri Lynne Ware, DPT

  • Physical Therapist
  • Bemidji, MN
National Provider Identifier
1366635716
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3079 Issued in MN
Practice address
677 Anne St NW
Bemidji, MN 56601-4390
Phone
(218) 407-0187
NPI assigned
Aug 20, 2007
Last updated
Jun 24, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3079 MN Primary

Addresses

Primary practice location

677 Anne St NW
Bemidji, MN 56601-4390

Mailing address

677 Anne St NW
Bemidji, MN 56601-4390
Phone (218) 407-0187

Other identifiers 1

IdentifierTypeStateIssuer
683227000MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090909000710 MN Practitioner - Physical Therapist in Private Practice 4880749100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of North Dakota School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Molly E HansonGroup PAC ID 9931508306, 3 clinicians
Choice Therapy, P.a.Group PAC ID 7618022930, 39 clinicians

Practice addresses (Care Compare)

1728 N Front St
Crookston, MN 56716-1020
Phone (218) 470-0132

3835 Supreme CT NW
Suite 2
Bemidji, MN 56601-4485
Phone (218) 444-8280

Merit-based Incentive Payment System (MIPS)

Final score
77.79 of 100Reported as group
Quality
71.6
Improvement activities
40
Cost
73.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3079MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Therapy Current Accepting new patients
Choice Therapy, P.a. Physical Therapist CurrentSince Sep 1, 2009 Accepting new patients
Molly E Hanson Physical Therapist CurrentSince Aug 24, 2022 Accepting new patients

Locations

118 Central St W
Bagley, MN 56621
Phone (218) 694-3030

3835 Supreme Ct NW
Ste 2
Bemidji, MN 56601
Phone (218) 441-5232

1728 N Front St
Crookston, MN 56716
Phone (218) 470-0132

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245801600000",
    "number": "1366635716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 ANNE ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014390",
            "telephone_number": "218-407-0187",
            "fax_number": "218-732-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 ANNE ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014390",
            "telephone_number": "218-407-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE",
        "first_name": "CHERI",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2009-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "3079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "683227000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.

Verify at the official NPI Registry.