LGND Rehab & Performance PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LGND REHAB & PERFORMANCE PLLC

Practice address

13063 Sandy St.
Arnegard, ND 58835

Phone

(701) 580-5001

NPI assigned

Aug 22, 2024

Organization subpart

No

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

Authorized official

Name

McKayla Haugeberg, DPTNPI 1184241507

Title

Doctor of Physical Therapy

Phone

(701) 580-5001

Specialties & licenses 1

Addresses

Practitioners 1

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

• McKayla Haugeberg

  • Physical Therapist
  • Watford City, ND
  • NPI 1184241507
  NPD Authorized official

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1699508994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272",
            "city": "WATFORD CITY",
            "state": "ND",
            "postal_code": "588540272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13063 SANDY ST.",
            "city": "ARNEGARD",
            "state": "ND",
            "postal_code": "58835",
            "telephone_number": "701-580-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LGND REHAB & PERFORMANCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "HAUGEBERG",
        "authorized_official_first_name": "MCKAYLA",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "701-580-5001",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Owen Hamre
• Devan W.W. Johnson, LAC
• Tasha Jeanmarie Kelly, LAC
• Lindsey Nicole Page, LAC
• Anita Ann Pedersen, FNP-BC
• Providence House LLC
• Randi Smith
• Courtney Tanner, CPM

• All providers in Arnegard, ND
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.