Bewell Physical Therapy, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BEWELL PHYSICAL THERAPY, PLLC

Practice address

534 Main St N Unit B
Horace, ND 58047-4640

Phone

(701) 361-4984

NPI assigned

Feb 10, 2021

Last updated

Mar 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine Teigen

Title

Owner

Phone

(701) 361-4929

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Tax ID family

Bewell Physical Therapy PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Yellow Rose Digital Therapy

  • Physical Therapist
  • Horace, ND
  • NPI 1942893177
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine Huether

  • Physical Therapist
  • Horace, ND
  • NPI 1184027534
  Medicare reassignment Care Compare group NPD
• Kristin Sorvig, PT

  • Physical Therapist
  • Horace, ND
  • NPI 1295015642
  Medicare reassignment Care Compare group NPD
• Aaron Ross Sorvig, PT

  • Physical Therapist
  • West Fargo, ND
  • NPI 1679634661
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1689266728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 MAIN ST N UNIT B",
            "city": "HORACE",
            "state": "ND",
            "postal_code": "580474640",
            "telephone_number": "701-361-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 MAIN ST N UNIT B",
            "city": "HORACE",
            "state": "ND",
            "postal_code": "580474640",
            "telephone_number": "701-361-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEWELL PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "TEIGEN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-361-4929"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184027534",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Christi@Horacerenewpt.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "534 Main St N Unit B",
            "city": "Horace",
            "state": "ND",
            "country_code": "US",
            "postal_code": "580474640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Horacerenewpt.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "534 Main St N Unit B",
            "city": "Horace",
            "state": "ND",
            "country_code": "US",
            "postal_code": "580474640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.bewellptnd.com",
            "affiliation": "N",
            "address_1": "534 Main St N Unit B",
            "city": "Horace",
            "state": "ND",
            "country_code": "US",
            "postal_code": "580474640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Abc Pediatric Physical Therapy, LTD.
• Aim Therapy PLLC
• Kevin Kalin Anderson
• Azizas Residential Care LLC
• Emma Bestul
• Bison Imaging
• Hannibal D Blojay
• Malay K.B Blojay
• Brian Allen Borchardt, PT
• Jonathan Bultema, D.D.S.

• Physical Therapist in Horace, ND
• Providers in Horace, ND by specialty
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.