Active NPI
Marcus Hieb, PT
- Physical Therapist
- Bismarck, ND
National Provider Identifier
1790709673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1551
- Practice address
- 1000 Tacoma Ave
Sutie 500
Bismarck, ND 58504-7036 - Phone
- (701) 751-3001
- Fax
- (701) 751-3089
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1551 | ND | Primary |
Addresses
Primary practice location
1000 Tacoma Ave
Sutie 500
Bismarck, ND 58504-7036
Mailing address
1000 Tacoma Ave
Sutie 500
Bismarck, ND 58504-7036
Phone (701) 751-3001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55714 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110122000066 | ND | Practitioner - Physical Therapist in Private Practice | 9335265735 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Tacoma Ave
Suite 500
Bismarck, ND 58504-7093
Phone (701) 751-3001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1551 | ND | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Therapy and Fitness, LLC | Physical Therapist | Current | Accepting new patients |
Locations
3231 Greensboro Dr
Ste 102
Bismarck, ND 58503
Phone (701) 354-1200
1000 Tacoma Ave
Ste 500
Bismarck, ND 58504
Phone (701) 751-3001
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Bismarck, ND
- NPI 1013238112
ND, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291248000000",
"number": "1790709673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 TACOMA AVE",
"address_2": "SUTIE 500",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585047036",
"telephone_number": "701-751-3001",
"fax_number": "701-751-3089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 TACOMA AVE",
"address_2": "SUTIE 500",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585047036",
"telephone_number": "701-751-3001",
"fax_number": "701-751-3089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIEB",
"first_name": "MARCUS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2010-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "1551",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55714",
"state": "ND"
}
],
"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 Dec 2, 2010; 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.