NPIMap

Organization Active NPI

Minot Center for Pediatric Therapy

  • Speech-Language Pathologist
  • Minot, ND
National Provider Identifier
1821353848
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MINOT CENTER FOR PEDIATRIC THERAPY
Practice address
2201 36TH Ave SW
Suite B
Minot, ND 58701-7593
Phone
(701) 837-9801
Fax
(701) 425-0606
NPI assigned
Jul 5, 2012
Last updated
Aug 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Authorized official

Name
Mrs. Kylee Geer, MS CCC-SLPNPI 1780881391
Title
Owner
Phone
(701) 837-9801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary
Hearing and Speech Clinic/Center 261QH0700X

Addresses

Primary practice location

2201 36TH Ave SW
Suite B
Minot, ND 58701-7593

Mailing address

2201 36TH Ave SW
Suite B
Minot, ND 58701-7593
Phone (701) 837-9801

Other identifiers 1

IdentifierTypeStateIssuer
1459694MedicaidND

National Provider Directory

National Provider Directory

Locations

2201 36th Ave SW
Ste B
Minot, ND 58701
Phone (701) 837-9801

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1821353848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 36TH AVE SW",
            "address_2": "SUITE B",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587017593",
            "telephone_number": "701-837-9801",
            "fax_number": "701-425-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 36TH AVE SW",
            "address_2": "SUITE B",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587017593",
            "telephone_number": "701-837-9801",
            "fax_number": "701-425-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINOT CENTER FOR PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "GEER",
        "authorized_official_first_name": "KYLEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-837-9801",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1459694",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.