Eric Klindworth

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1211 Issued in ND

Practice address

1312 Hwy 49 NW
Beulah, ND 58523

Phone

(701) 873-4445

Fax

(701) 873-4199

NPI assigned

May 18, 2007

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 1, 2010.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1508074162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 HWY 49 NW",
            "city": "BEULAH",
            "state": "ND",
            "postal_code": "58523",
            "telephone_number": "701-873-4445",
            "fax_number": "701-873-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 HWY 49 NW",
            "city": "BEULAH",
            "state": "ND",
            "postal_code": "58523",
            "telephone_number": "701-873-4445",
            "fax_number": "701-873-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINDWORTH",
        "first_name": "ERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "25577",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy Lynn Johnson, FNP
• Britta Julson, PA-C
• Alison Leigh Just, DDS
• David Just, R.PH.
• Thomas Kaspari, M.D.
• Jacinta-Jon Klindworth, M.D.
• Samantha Jean Kost
• Haydee M Krieg, SLP
• Jean Langeliers, LRD
• Andrea L. Lebrun, PHARMD

• All providers in Beulah, ND
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.