Matthew James Aymond, DPT
Individual provider Active NPI Physical Therapist · Fargo, ND
NPI 1659129153 · NPPES record last updated May 9, 2024
Key facts
- NPI
- 1659129153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2191 (ND)
- Practice address
- 1702 University Dr S
Fargo, ND 58103-4940 - Phone
- (701) 364-8900
- NPI assigned
- May 9, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Innovis Health LLC
Practice addresses (Care Compare)
1702 University Dr S
Fargo, ND 58103-4940
Phone (701) 364-8900
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241205003283 | ND | Practitioner - Physical Therapist in Private Practice | 1759817349 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2191 | ND | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovis Health, LLC | Current | Accepting new patients | |
| Innovis Health LLC | Current |
Accepting new patients | |
| Innovis Health, LLC | Current |
Accepting new patients |
Locations
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000
1702 University Dr S
Fargo, ND 58103
Phone (701) 364-4222
4110 51st Ave S
Fargo, ND 58104
Phone (701) 364-3100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11353 | MN | |
| Physical Therapist | 225100000X | 2191 | ND | Yes |
Addresses
Primary practice location
1702 University Dr S
Fargo, ND 58103-4940
Mailing address
400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364
Other providers in Fargo, ND
- Khadija A Awes
- Awesome Incorporated
- Mystal Rae Axtman
- Gemechu Shiferaw Ayana
- Michael Ayi
- Ghufran Azam I
- Azizas Residential Care LLC
- Casmir Azubuike
- Jessica Azure
- B.K. Spine Care, Inc.
All providers in Fargo, ND · Physical Therapist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.