Organization Active NPI

Rehabauthority, LLC

  • Multi-Specialty Clinic/Center
  • Grand Forks, ND
National Provider Identifier
1730159690
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
REHABAUTHORITY, LLC
Practice address
701 Demers Ave
Suite B
Grand Forks, ND 58201-4506
Phone
(701) 772-2200
Fax
(701) 772-2800
NPI assigned
Jan 24, 2006
Last updated
Jul 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Robert PaceNPI 1164643466
Title
Owner, Coo
Phone
(213) 804-1712

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Physical Therapist 225100000X ID
Occupational Therapist 225X00000X 25 ND
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Durable Medical Equipment & Medical Supplies 332B00000X WHOL1275 ND

Addresses

Primary practice location

701 Demers Ave
Suite B
Grand Forks, ND 58201-4506

Mailing address

2600 Dallas Pkwy Ste 290
Frisco, TX 75034-7493
Phone (945) 260-0010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, ND, MN, CA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20040401001711 ID Part B Supplier - Clinic/Group Practice 1355333931 Receives reassigned benefits from 39 practitioners
Practice locations: Nampa, ID; Star, ID; Meridian, ID; Kuna, ID; Idaho Falls, ID; Homedale, ID; Boise, ID; Caldwell, ID
O20110621000265 ND Part B Supplier - Clinic/Group Practice 1355333931 Receives reassigned benefits from 31 practitioners
Practice locations: New Salem, ND; Grand Forks, ND; Fargo, ND; Casselton, ND; Bismarck, ND
O20140403000193 MN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1355333931 Receives reassigned benefits from 14 practitioners
Practice locations: Alexandria, MN; Thief River Falls, MN; Moorhead, MN; Hawley, MN; Detroit Lakes, MN
O20210812003166 CA Part B Supplier - Clinic/Group Practice 1355333931 Receives reassigned benefits from 1 practitioner
Practice locations: Carlsbad, CA

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations (25 of 26)

10790 W Overland Rd
Boise, ID 83709
Phone (208) 322-8709

1109 S Broadway Ave
Ste 120
Boise, ID 83706
Phone (208) 473-4410

5418 N Eagle Rd
Ste 140
Boise, ID 83713
Phone (208) 938-5255

5520 N Eagle Rd
Ste 102
Boise, ID 83713
Phone (208) 938-5255

120 E Pine St
Caldwell, ID 83605
Phone (208) 454-5142

134 E Idaho Ave
Homedale, ID 83628
Phone (208) 337-3254

720 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 322-8709

825 W Deer Flat Rd
#100
Kuna, ID 83634
Phone (208) 268-0104

118 E Fairview Ave
Meridian, ID 83642
Phone (208) 288-0710

745 S Progress Ave
Ste 110
Meridian, ID 83642
Phone (208) 895-0309

1223 1st St S
Nampa, ID 83651

337 W Iowa Ave
Nampa, ID 83686
Phone (208) 305-6838

285 Vista Dr
Pocatello, ID 83201
Phone (208) 233-8344

495 Yellowstone Ave
#A
Pocatello, ID 83201
Phone (208) 232-9198

3007 Highway 29 S
Ste 102
Alexandria, MN 56308
Phone (320) 460-1188

100 Highway 10 E
Hawley, MN 56549

100 Highway 10 E
Ste 1
Hawley, MN 56549
Phone (218) 420-0950

1511 Highway 59 S
Thief Rvr Fls, MN 56701
Phone (218) 681-0449

1511 US Highway 59 SE
Ste A
Thief Rvr Fls, MN 56701
Phone (218) 681-0449

3921 Lockport St
Bismarck, ND 58503
Phone (701) 751-3125

600 S 2nd St
Ste 100
Bismarck, ND 58504
Phone (701) 450-1330

1100 19th Ave N
Ste K
Fargo, ND 58102
Phone (701) 235-1400

3170 43rd St S
Ste 101
Fargo, ND 58104
Phone (701) 277-8448

701 Demers Ave
#B
Grand Forks, ND 58201
Phone (701) 772-2200

1103 E Boxelder Rd
Ste Ka
Gillette, WY 82718
Phone (307) 686-8177

Practitioners & affiliated clinicians

Practitioners 192

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.

View all 192

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1730159690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 DALLAS PKWY STE 290",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347493",
            "telephone_number": "945-260-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 DEMERS AVE",
            "address_2": "SUITE B",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014506",
            "telephone_number": "701-772-2200",
            "fax_number": "701-772-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABAUTHORITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER, COO",
        "authorized_official_telephone_number": "213-804-1712"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "25",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ND",
            "license": "WHOL1275",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.