Individual provider Active NPI

Denise Schram, PT/DPT

  • Physical Therapist
  • Fargo, ND
National Provider Identifier
1790198190
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1773 Issued in ND
Practice address
4450 31St Ave S Ste 104
Fargo, ND 58104-4557
Phone
(701) 451-9417
Fax
(701) 298-0066
NPI assigned
Jun 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1773 ND Primary

Addresses

Primary practice location

4450 31St Ave S Ste 104
Fargo, ND 58104-4557

Mailing address

4450 31St Ave S Ste 104
Fargo, ND 58104-4557
Phone (701) 451-9417

Other names 1

  • Denis Bodensteiner Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140814002794 ND Practitioner - Physical Therapist in Private Practice 7416174404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4450 31St Ave S
Suite 104
Fargo, ND 58104-4557
Phone (701) 451-9417

Merit-based Incentive Payment System (MIPS)

Final score
90.38 of 100Reported as group
Quality
89.93
Improvement activities
40
Cost
81.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Rehabilitation Center Inc Physical Therapist CurrentSince Jun 1, 2014 Accepting new patients
Professional Rehabilitation Center Inc Physical Therapist CurrentSince Jun 1, 2014 Accepting new patients
Professional Rehabilitation Center Physical Therapist Past Accepting new patients

Locations

4450 31st Ave S
Ste 104
Fargo, ND 58104
Phone (701) 451-9417

1711 Gold Dr S
Ste 120
Fargo, ND 58103
Phone (701) 298-0065

1200 Harwood Dr S
Fargo, ND 58104
Phone (701) 451-4811

3105 Broadway N
Ste 7
Fargo, ND 58102
Phone (701) 451-9417

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1790198190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 31ST AVE S STE 104",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044557",
            "telephone_number": "701-451-9417",
            "fax_number": "701-298-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 31ST AVE S STE 104",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044557",
            "telephone_number": "701-451-9417",
            "fax_number": "701-298-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRAM",
        "first_name": "DENISE",
        "credential": "PT/DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENIS",
            "last_name": "BODENSTEINER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.