Achieve Therapy LLC
Organization Active NPI Physical Therapist · East Grand Forks, MN
NPI 1407919210 · NPPES record last updated Jan 19, 2026
Key facts
- NPI
- 1407919210
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ACHIEVE THERAPY LLC
- 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
- Organization subpart
- No
Authorized official
- Name
- Michelle D Jenson, ATC, PTA
- Title
- Owner, Office Manager
- Phone
- (701) 746-8374
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 1
Practitioners 14
-
Thomas Carson, PT, DPT
-
Mathew T Grasser, PT
-
Austin L Urlaub, PT
-
Heather A Walsh, DR. OF PT
-
Mary Lynn Berntson, OTRL CHT
-
Nicole J Chine, PT
-
Laurie Holte, PT
-
Gary D Schindler, DPT, OCS, SCS, ATC
-
Sara Jane Hovde, PT
-
Robin Catherine Tracy, PT, ATC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370068100 | Medicaid | MN | |
| 183H5SE | Other | MN | BCBS MN |
| 64-07686 | Other | MN | MEDICA |
Other names
- Achieve Therapy of Park Rapids
Other providers in East Grand Forks, MN
- Utkucan Acar
- Achieve Therapy LLC
- Altru Health System
- Alwaysbettercare Homecare LLC
- Abbey L Anderson
- Leah Anderson
- Area Special Education Cooperative #997
All providers in East Grand Forks, 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 Jan 19, 2026. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.