Active NPI
Alexandra Sasha Tsibur-Mayer, PT
- Physical Therapist
- Dickinson, ND
National Provider Identifier
1508068503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1224
- Practice address
- 986 2ND Ave W
Dickinson, ND 58601-3916 - Phone
- (701) 456-4378
- Fax
- (701) 456-4809
- NPI assigned
- Jun 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1224 | ND | Primary |
Addresses
Primary practice location
986 2ND Ave W
Dickinson, ND 58601-3916
Mailing address
324 3Rd St N
Richardton, ND 58652-7110
Phone (701) 690-9840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090223000034 | ND | Practitioner - Physical Therapist in Private Practice | 8426113648 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Therapy Solutions LLC
Practice addresses (Care Compare)
448 21St St W
Suite D1
Dickinson, ND 58601-2647
Phone (701) 483-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1224 | ND | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Solutions LLC | Physical Therapist | Current | Accepting new patients |
Locations
448 21st St W
Ste D1
Dickinson, ND 58601
Phone (701) 483-1000
1679 6th Ave W
Dickinson, ND 58601
Phone (701) 483-1000
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349827200000",
"number": "1508068503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 3RD ST N",
"city": "RICHARDTON",
"state": "ND",
"postal_code": "586527110",
"telephone_number": "701-690-9840",
"fax_number": "701-456-4809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "986 2ND AVE W",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586013916",
"telephone_number": "701-456-4378",
"fax_number": "701-456-4809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSIBUR-MAYER",
"first_name": "ALEXANDRA",
"middle_name": "SASHA",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-01",
"last_updated": "2012-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "1224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dickinson, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.