Tki Enterprises PLLC
Organization Active NPI Physical Therapy Clinic/Center · Garrison, ND
NPI 1790355170 · NPPES record last updated Jul 31, 2021
Key facts
- NPI
- 1790355170
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- TKI ENTERPRISES PLLC
- Practice address
- 275 2ND St SW
Ste B
Garrison, ND 58540 - Phone
- (701) 337-6488
- NPI assigned
- Jun 29, 2021
- Organization subpart
- No
Authorized official
- Name
- Tammy Iglehart, PT
- Title
- Ao/Owner
- Phone
- (970) 231-8558
Practitioners 1
-
Tammy K Iglehart, PT, ATC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210907003417 | ND | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 9537565130 |
Receives reassigned benefits from 1 practitioner Practice locations: Garrison, ND |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
275 2ND St SW
Ste B
Garrison, ND 58540
Mailing address
4991 14TH St NW
Garrison, ND 58540-9651
Phone (701) 337-6488
Other names
- Performance Posture
Other providers in Garrison, ND
- Arthur J Renner
- Hedi J Rime
- Richard A Rime
- Victoria M Robinson
- Lincoln Stormer
- Nathan Patrick Turck
- Elizabeth L. Vandal
- Kristi Wachendorf
- Jayne Marie Young Bear
All providers in Garrison, ND · Physical Therapy Clinic/Center in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.