Active NPI
Nicole J Chine, PT
- Physical Therapist
- Grand Forks AFB, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1317
- Practice address
- 1599 J St
Grand Forks AFB, ND 58205-6306 - Phone
- (701) 747-5555
- NPI assigned
- Aug 30, 2006
- Last updated
- Sep 30, 2025
- 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 | 1317 | ND | Primary |
Addresses
Primary practice location
1599 J St
Grand Forks AFB, ND 58205-6306
Mailing address
1599 J St
Grand Forks AFB, ND 58205-6306
Phone (701) 747-5555
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B17461047855 | Other | PREFERRED ONE | |
| 51268 | Medicaid | ND | |
| 64-06759 | Other | MEDICA | |
| 253467000 | Medicaid | MN | |
| 79G99CH | Other | BLUE CROSS/BLUE SHIELD MN | |
| 27383 | Other | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, MN
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achieve Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Achieve Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Achieve Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Achieve Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
1421 Central Ave NW
East Grand Forks, MN 56721
Phone (218) 773-3010
110 Pleasant Ave S
Park Rapids, MN 56470
Phone (218) 237-3052
1425 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 746-8374
3035 Demers Ave
Grand Forks, ND 58201
Phone (701) 746-6694
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Achieve Therapy of Park Rapids
- Physical Therapist
- East Grand Forks, MN
- NPI 1407919210
-
- Physical Therapist
- Park River, ND
- NPI 1063850436
-
- Physical Therapist
- East Grand Forks, MN
- NPI 1003145376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759190400000",
"number": "1548370752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1599 J ST",
"city": "GRAND FORKS AFB",
"state": "ND",
"postal_code": "582056306",
"telephone_number": "701-747-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1599 J ST",
"city": "GRAND FORKS AFB",
"state": "ND",
"postal_code": "582056306",
"telephone_number": "701-747-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHINE",
"first_name": "NICOLE",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "1317",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "B17461047855",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "51268",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "64-06759",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "253467000",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD MN",
"identifier": "79G99CH",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "27383",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks AFB, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.