NPIMap

Organization Active NPI

Achieve Therapy LLC

Doing business as Achieve Therapy of Park Rapids

  • Physical Therapist
  • East Grand Forks, MN
National Provider Identifier
1407919210
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ACHIEVE THERAPY LLC
Doing business as
Achieve Therapy of Park Rapids
Practice address
1421 Central Ave NW
East Grand Forks, MN 56721-1617
Phone
(218) 773-3388
Fax
(218) 773-6611
NPI assigned
Dec 19, 2006
Last updated
Jan 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Authorized official

Name
Michelle D Jenson, ATC, PTANPI 1306272794
Title
Owner, Office Manager
Phone
(701) 746-8374

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1421 Central Ave NW
East Grand Forks, MN 56721-1617

Mailing address

1425 S Columbia Rd
Grand Forks, ND 58201-4039
Phone (701) 746-8374

Other names 1

  • Achieve Therapy of Park Rapids Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150402000769 MN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6608762836 Receives reassigned benefits from 9 practitioners
2 other NPIs on this enrollment
Practice locations: East Grand Forks, MN; Park Rapids, MN

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

211 2nd St W
Park Rapids, MN 56470
Phone (218) 237-3052

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1407919210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 S COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014039",
            "telephone_number": "701-746-8374",
            "fax_number": "701-780-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 CENTRAL AVE NW",
            "city": "EAST GRAND FORKS",
            "state": "MN",
            "postal_code": "567211617",
            "telephone_number": "218-773-3388",
            "fax_number": "218-773-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "JENSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER, OFFICE MANAGER",
        "authorized_official_telephone_number": "701-746-8374",
        "authorized_official_credential": "ATC, PTA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Achieve Therapy of Park Rapids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Grand Forks, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.