At-Home Physical Therapy, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0962 Issued in ND

Legal business name

AT-HOME PHYSICAL THERAPY, PC

Practice address

1420 9TH St S
Suite 409
West Fargo, ND 58078-3381

Phone

(701) 293-7294

Fax

(701) 282-9738

NPI assigned

Aug 28, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Roger Joseph Stroh, PTNPI 1851329478

Title

President

Phone

(701) 293-7294

Specialties & licenses 2

Addresses

Other names 1

• Rehab 4 Life Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roger Joseph Stroh, PT

  • Physical Therapist
  • Fargo, ND
  • NPI 1851329478
  NPD Authorized official

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1629326376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4622 40TH AVE SW",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044394",
            "telephone_number": "701-293-7294",
            "fax_number": "701-282-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 9TH ST S",
            "address_2": "SUITE 409",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783381",
            "telephone_number": "701-293-7294",
            "fax_number": "701-282-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT-HOME PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "STROH",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-293-7294",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "0962",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "924",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehab 4 Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in West Fargo, ND
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.