Teressa Mary Brock, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

906 Issued in ND

Practice address

2311 Elk Dr
Minot, ND 58701-5633

Phone

(701) 720-6354

Fax

(701) 839-4076

NPI assigned

May 17, 2007

Last updated

Jan 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Teressa Mary Schmidt Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Living Life Physical Therapy

  • Physical Therapy Clinic/Center
  • Minot, ND
  • NPI 1285194324
  Authorized official Same address or phone
• Lea Anna Hughes LCSW

  dba (w)evolve therapy services

  • Clinical Social Worker
  • Minot, ND
  • NPI 1386211282
  NPD

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1699982835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 SUNDOWN DR",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587018134",
            "telephone_number": "701-720-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 ELK DR",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587015633",
            "telephone_number": "701-720-6354",
            "fax_number": "701-839-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "TERESSA",
        "middle_name": "MARY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbrock@srt.com",
            "affiliation": "N",
            "address_1": "2311 Elk Dr",
            "city": "Minot",
            "state": "ND",
            "country_code": "US",
            "postal_code": "587015633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TERESSA",
            "last_name": "SCHMIDT",
            "middle_name": "MARY",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christine M Brigden, LSW
• Bright Path Pediatric Therapy
• Morgan Bright
• Brintnell Chiropractic PC (Chiropractic Associates)
• Jason Robert Brintnell, D.C.
• Sherry L. Broderick, CCC-SLP
• Jodi Ann Brophy, BS, LAC
• Erika Brorby
• Cassandra Jae Broten, MSOT, OTR/L
• Alexis Brown

• Physical Therapist in Minot, ND
• Providers in Minot, 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 Jan 11, 2022; 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.