Organization Active NPI

Choice Therapy Crookston LLC

  • Chiropractor
  • Crookston, MN
National Provider Identifier
1821870643
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHOICE THERAPY CROOKSTON LLC
Practice address
1728 N Front St
Crookston, MN 56716-1020
Phone
(218) 470-0132
Fax
(218) 293-4508
NPI assigned
Oct 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Authorized official

Name
Molly E HansonNPI 1770986259
Title
Owner
Phone
(218) 280-8913

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1728 N Front St
Crookston, MN 56716-1020

Mailing address

1728 N Front St
Crookston, MN 56716-1020
Phone (218) 470-0132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240722000810 MN Part B Supplier - Clinic/Group Practice 1759827207 Receives reassigned benefits from 1 practitioner
Practice locations: Crookston, MN

National Provider Directory

National Provider Directory
Tax ID family
Choice Therapy Crookston2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1728 N Front St
Crookston, MN 56716
Phone (218) 470-0132

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1821870643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 N FRONT ST",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "567161020",
            "telephone_number": "218-470-0132",
            "fax_number": "218-293-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 N FRONT ST",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "567161020",
            "telephone_number": "218-470-0132",
            "fax_number": "218-293-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE THERAPY CROOKSTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-280-8913"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crookston, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.