NPIMap

Organization Active NPI

Northern Lights Physical Therapy Limited Partnership

  • Physical Therapist
  • Bismarck, ND
National Provider Identifier
1760613632
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NORTHERN LIGHTS PHYSICAL THERAPY LIMITED PARTNERSHIP
Practice address
911 West Interstate Ave
Ste 12 BLDG 3
Bismarck, ND 58501
Phone
(701) 223-8717
Fax
(701) 255-3957
NPI assigned
Jul 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Richard Binstein
Title
Evp
Phone
(713) 297-7000

Specialties & licenses 1

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

Addresses

Primary practice location

911 West Interstate Ave
Ste 12 BLDG 3
Bismarck, ND 58501

Mailing address

911 West Interstate Ave
Ste 12 BLDG 3
Bismarck, ND 58501
Phone (701) 223-8717

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100315001023 ND Part B Supplier - Clinic/Group Practice 2163557208 Receives reassigned benefits from 6 practitioners
Practice locations: Bismarck, ND

National Provider Directory

National Provider Directory

Locations

911 W Interstate Ave
Bismarck, ND 58503

202 E Greenfield Ln
Ste 120
Bismarck, ND 58503
Phone (701) 805-0879

911 W Interstate Ave
Ste 12
Bismarck, ND 58503
Phone (701) 223-8717

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1760613632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 WEST INTERSTATE AVE",
            "address_2": "STE 12 BLDG 3",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58501",
            "telephone_number": "701-223-8717",
            "fax_number": "701-255-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 WEST INTERSTATE AVE",
            "address_2": "STE 12 BLDG 3",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58501",
            "telephone_number": "701-223-8717",
            "fax_number": "701-255-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN LIGHTS PHYSICAL THERAPY LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "BINSTEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "713-297-7000"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.