Emma L Berthiaume, DPT
Individual provider Active NPI Physical Therapist · Fargo, ND
NPI 1801626445 · NPPES record last updated Aug 7, 2024
Key facts
- NPI
- 1801626445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2753 (ND)
- Practice address
- 3000 32ND Ave S
Fargo, ND 58103-6132 - Phone
- (701) 364-8000
- NPI assigned
- Aug 7, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2753 | ND | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2753 | ND | Yes |
Addresses
Primary practice location
3000 32ND Ave S
Fargo, ND 58103-6132
Mailing address
1702 University Dr S
Fargo, ND 58103-4940
Phone (701) 364-8000
Other providers in Fargo, ND
- Eva Teresa Berro
- James H Berro
- Brianna Berry
- Spencer D Berry
- Taylor Berry
- Lisa Bertossi
- Debra Bertram
- Carissa Bertsch
- Stephanie Irene Beske-Atiga
- Ashley Bessette
All providers in Fargo, ND · Physical Therapist 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 Aug 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.