Individual provider Active NPI

Erin Reidman, PT

  • Physical Therapist
  • Bismarck, ND
National Provider Identifier
1457749418
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1827 Issued in ND
Practice address
207 W Front Ave
Bismarck, ND 58504-5514
Phone
(701) 751-0994
Fax
(701) 751-1657
NPI assigned
Dec 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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 1827 ND Primary

Addresses

Primary practice location

207 W Front Ave
Bismarck, ND 58504-5514

Mailing address

207 W Front Ave
Bismarck, ND 58504-5514
Phone (701) 751-0994

Other identifiers 1

IdentifierTypeStateIssuer
1476409MedicaidND

Other names 1

  • Erin Barber Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1827NDMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1457749418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W FRONT AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045514",
            "telephone_number": "701-751-0994",
            "fax_number": "701-751-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W FRONT AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045514",
            "telephone_number": "701-751-0994",
            "fax_number": "701-751-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIDMAN",
        "first_name": "ERIN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-29",
        "last_updated": "2021-03-19",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1476409",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "BARBER",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.