Genuine Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

GENUINE PHYSICAL THERAPY LLC

Practice address

1251 1St St S Ste 4
Dickinson, ND 58601-4663

Phone

(303) 917-5496

NPI assigned

Mar 24, 2021

Last updated

Mar 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brady Martin, DPTNPI 1891170932

Title

Owner

Phone

(303) 917-5496

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brady Martin

  • Physical Therapist
  • Dickinson, ND
  • NPI 1891170932
  Medicare reassignment NPD Authorized official
• Rachel Kottsick

  • Physical Therapist
  • Dickinson, ND
  • NPI 1326496480
  Medicare reassignment NPD
• Evan Henke, DPT

  • Orthopedic Physical Therapist
  • Dickinson, ND
  • NPI 1447174990

  Sports

  NPD

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1386221679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5097 99TH AVE SW",
            "city": "LEFOR",
            "state": "ND",
            "postal_code": "586419211",
            "telephone_number": "303-917-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 1ST ST S STE 4",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586014663",
            "telephone_number": "303-917-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENUINE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "BRADY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-917-5496",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1464697",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon D Galster, DDS
• Sarah Jo Galvin
• Tess M Gaugler, LMT
• Kristine Nicole Gayda, FNP-C
• Tommi Genre, RBT
• Teresa Ann Gerbig, PHARMD
• Trisha Sue Getz, CCC-SLP
• Lisa Giese
• Megan Gietzen, NP
• Miriam Gikiri

• Physical Therapist in Dickinson, ND
• Providers in Dickinson, ND by specialty
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.