Active NPI
Laura Beth Marquardt, DPT
- Physical Therapist
- Fargo, ND
National Provider Identifier
1629557624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-1997
- Practice address
- 4420 37TH Ave S
Fargo, ND 58104-3400 - Phone
- (701) 365-4771
- Fax
- (701) 365-8134
- NPI assigned
- Aug 9, 2018
- Last updated
- Aug 9, 2018
- 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 | PT-1997 | ND | Primary |
Addresses
Primary practice location
4420 37TH Ave S
Fargo, ND 58104-3400
Mailing address
2965 E Tarpon Dr Ste 150
Meridian, ID 83642-9007
Phone (701) 365-4771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT-1997 | Other | ND | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 16TH Ave SE
Minot, ND 58701-6781
Phone (701) 852-1399
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-1997 | ND | MD | Physical Therapist |
| 1997 | ND | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caring Edge Op LLC | Physical Therapist | Current | Accepting new patients |
Locations
2965 E Tarpon Dr
Ste 150
Meridian, ID 83642
Phone 2082879420110
2801 39th Ave SE
Mandan, ND 58554
Phone (701) 663-5664
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533772800000",
"number": "1629557624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2965 E TARPON DR STE 150",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836429007",
"telephone_number": "701-365-4771",
"fax_number": "701-365-8134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4420 37TH AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581043400",
"telephone_number": "701-365-4771",
"fax_number": "701-365-8134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARQUARDT",
"first_name": "LAURA",
"middle_name": "BETH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-09",
"last_updated": "2018-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "PT-1997",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PT-1997",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.