Tonya Boltz, PTA
Individual provider Active NPI Physical Therapy Assistant · Dickinson, ND
NPI 1811098320 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1811098320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 683 (ND)
- Practice address
- 683 State Ave Ste B
Dickinson, ND 58601-4660 - Phone
- (701) 483-9400
- Fax
- (701) 483-9398
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 683 | ND | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omaha Therapy Dba Rehab Visions | Past | Accepting new patients | |
| Omaha Therapy, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 683 | ND | Yes |
Addresses
Primary practice location
683 State Ave Ste B
Dickinson, ND 58601-4660
Mailing address
683 State Ave Ste B
Dickinson, ND 58601-4660
Phone (701) 483-9400
Other providers in Dickinson, ND
- Sara Bogotch
- Stephanie Barbara Bohan
- Anastasiia Boiko
- Salva Bokanga
- Sri Puja Bolligarla
- Travis Booke
- Renee L. Boomgaarden
- Preston Borsheim
- Melinda A Borts
- Heather Lee Boxrud
All providers in Dickinson, ND · Physical Therapy Assistant 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 8, 2007. 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.