Individual provider Active NPI

Aaron Ross Sorvig, PT

  • Physical Therapist
  • West Fargo, ND
National Provider Identifier
1679634661
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2004 Issued in ND
Practice address
1420 9TH St E Ste 401
West Fargo, ND 58078-3381
Phone
(701) 364-2739
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7628 MN
Physical Therapist 225100000X 2004 ND Primary

Addresses

Primary practice location

1420 9TH St E Ste 401
West Fargo, ND 58078-3381

Mailing address

1420 9TH St E Ste 401
West Fargo, ND 58078-3381
Phone (701) 364-2739

Other identifiers 2

IdentifierTypeStateIssuer
H400242693OtherMNMEDICARE MN
P01525459OtherNDND MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150923001890 ND Practitioner - Physical Therapist in Private Practice 0941224703 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Physical Therapy and Wellness Center PCGroup PAC ID 6507926235, 33 clinicians
Bewell Physical Therapy PLLCGroup PAC ID 7416366059, 3 clinicians

Practice addresses (Care Compare)

4803 38TH St S
Suite 102
Fargo, ND 58104-5500
Phone (701) 639-0808

534 Main St N
Unit B
Horace, ND 58047-4640
Phone (701) 361-4984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7628MNMDPhysical Therapist
2004NDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Physical Therapy and Wellness Center, PC Physical Therapist CurrentSince Jun 24, 2019 Accepting new patients

Locations

4803 38th St S
Ste 102
Fargo, ND 58104
Phone (701) 639-0808

1420 9th St E
Ste 401
West Fargo, ND 58078
Phone (701) 361-2739

350 23rd Ave E
West Fargo, ND 58078
Phone (701) 235-1924

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1679634661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 9TH ST E STE 401",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783381",
            "telephone_number": "701-364-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 9TH ST E STE 401",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783381",
            "telephone_number": "701-364-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORVIG",
        "first_name": "AARON",
        "middle_name": "ROSS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "7628",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "2004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MN",
            "identifier": "H400242693",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ND MEDICARE",
            "identifier": "P01525459",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.

Verify at the official NPI Registry.