Active NPI
Karen Erickson, PHYSICAL THERAPIST
- Physical Therapist
- Grafton, ND
National Provider Identifier
1720312481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 55497
- Practice address
- 701 W 6TH St
Grafton, ND 58237-1379 - Phone
- (701) 352-2574
- Fax
- (701) 352-0188
- NPI assigned
- Sep 29, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 55497 | ND | Primary |
Addresses
Primary practice location
701 W 6TH St
Grafton, ND 58237-1379
Mailing address
701 W 6TH St
Grafton, ND 58237-1379
Phone (701) 352-2574
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55497 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55497 | ND | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254182400000",
"number": "1720312481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 W 6TH ST",
"city": "GRAFTON",
"state": "ND",
"postal_code": "582371379",
"telephone_number": "701-352-2574",
"fax_number": "701-352-0188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W 6TH ST",
"city": "GRAFTON",
"state": "ND",
"postal_code": "582371379",
"telephone_number": "701-352-2574",
"fax_number": "701-352-0188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "KAREN",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-29",
"last_updated": "2009-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "55497",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55497",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grafton, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.