Active NPI
Jeanne Dekrey, PT
- Physical Therapist
- Bismarck, ND
National Provider Identifier
1609108166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- ND 578
- Practice address
- 900 E Broadway Ave
Bismarck, ND 58501-4520 - Phone
- (701) 530-7000
- Fax
- (701) 530-8842
- NPI assigned
- Feb 9, 2010
- 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 | ND 578 | ND | Primary |
Addresses
Primary practice location
900 E Broadway Ave
Bismarck, ND 58501-4520
Mailing address
900 E Broadway Ave
PO Box 5510
Bismarck, ND 58501-4520
Phone (701) 530-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ND 578 | Other | ND | LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND 578 | ND | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265673600000",
"number": "1609108166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 E BROADWAY AVE",
"address_2": "PO BOX 5510",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014520",
"telephone_number": "701-530-7000",
"fax_number": "701-530-8842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E BROADWAY AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014520",
"telephone_number": "701-530-7000",
"fax_number": "701-530-8842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEKREY",
"first_name": "JEANNE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-09",
"last_updated": "2010-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "ND 578",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "ND 578",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}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 Feb 9, 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.