Organization Active NPI

DSJ Enterprises, LLC

Doing business as AIM Physical Therapy Clinic

  • Physical Therapy Clinic/Center
  • Bismarck, ND
National Provider Identifier
1447200373
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
21,132,600 Issued in ND
Legal business name
DSJ ENTERPRISES, LLC
Doing business as
AIM Physical Therapy Clinic
Practice address
2945 N 11TH St
Bismarck, ND 58503-0514
Phone
(701) 258-7730
Fax
(701) 258-7803
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Donna Zastoupil-Hartze, PTNPI 1184674947
Title
President
Phone
(701) 258-7730

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 21,132,600 ND Primary

Addresses

Primary practice location

2945 N 11TH St
Bismarck, ND 58503-0514

Mailing address

2945 N 11TH St
Bismarck, ND 58503-0514
Phone (701) 258-7730

Other identifiers 1

IdentifierTypeStateIssuer
50972MedicaidND

Other names 1

  • AIM Physical Therapy Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051012000491 ND Part B Supplier - Clinic/Group Practice 1254356884 Receives reassigned benefits from 2 practitioners
Practice locations: Bismarck, ND

National Provider Directory

National Provider Directory

Locations

2945 N 11th St
Bismarck, ND 58503
Phone (701) 258-7730

2941 N 11th St
Ste 3
Bismarck, ND 58503
Phone (701) 258-7730

101 Collins Ave
Ste A
Mandan, ND 58554
Phone (701) 667-8700

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447200373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 N 11TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030514",
            "telephone_number": "701-258-7730",
            "fax_number": "701-258-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 N 11TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030514",
            "telephone_number": "701-258-7730",
            "fax_number": "701-258-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DSJ ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZASTOUPIL-HARTZE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-258-7730",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "ND",
            "license": "21,132,600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50972",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AIM Physical Therapy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.