NPIMap

Organization Active NPI

Mobilityplus Rehabilitation, LTD

  • Physical Therapist
  • Lisbon, ND
National Provider Identifier
1760021745
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MOBILITYPLUS REHABILITATION, LTD
Practice address
802 Main St
Lisbon, ND 58054
Phone
(701) 683-7900
Fax
(701) 683-7901
NPI assigned
Dec 23, 2019
Last updated
Dec 23, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
MOBILITYPLUS REHABILITATION, LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Authorized official

Name
Kristy Mairs
Title
Office Manager
Phone
(701) 678-2244

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

802 Main St
Lisbon, ND 58054

Mailing address

11 N Main St
Gwinner, ND 58040-4001
Phone (701) 678-2244

Other names 1

  • MobilityPLUS Rehabilitation, Ltd Lisbon Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060922000150 ND Part B Supplier - Clinic/Group Practice 3072517911 Receives reassigned benefits from 9 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gwinner, ND; Lisbon, ND; Valley City, ND; Enderlin, ND

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Mobilityplus Rehabilitation4 organizations share this tax ID, including this one
Part of
Mobilityplus Rehabilitation

Other organizations with this tax ID 3

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

Locations

110 Hillcrest Dr
Enderlin, ND 58027
Phone (701) 437-3544

802 Main St
Lisbon, ND 58054
Phone (701) 683-7900

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1760021745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 N MAIN ST",
            "city": "GWINNER",
            "state": "ND",
            "postal_code": "580404001",
            "telephone_number": "701-678-2244",
            "fax_number": "701-678-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 MAIN ST",
            "city": "LISBON",
            "state": "ND",
            "postal_code": "58054",
            "telephone_number": "701-683-7900",
            "fax_number": "701-683-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITYPLUS REHABILITATION, LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOBILITYPLUS REHABILITATION, LTD",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "MAIRS",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "701-678-2244"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MobilityPLUS Rehabilitation, Ltd Lisbon",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lisbon, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.