Active NPI
Mandy Williamson
- Physical Therapist
- Grand Forks, ND
National Provider Identifier
1821984238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2900
- Practice address
- 749 S 30TH St Apt 23
Grand Forks, ND 58201-4082 - Phone
- (218) 230-2171
- NPI assigned
- Jun 13, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
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 | 2900 | ND | Primary |
Addresses
Primary practice location
749 S 30TH St Apt 23
Grand Forks, ND 58201-4082
Mailing address
1616 Kings View Dr
Grand Forks, ND 58201-9266
Phone (218) 230-0853
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, MN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of North Dakota School of Medicine, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Thompson, ND 58278
Phone (701) 554-0111
39725 255TH St SW
Fisher, MN 56723-9352
Phone (218) 230-2171
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2900 | ND | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Therapy Solutions LLC | Physical Therapist | Current | Accepting new patients |
Locations
749 S 30th St
Apt 23
Grand Forks, ND 58201
Phone (218) 230-2171
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.
-
- Occupational Therapist
- Thompson, ND
- NPI 1801376959
MN, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749772800000",
"number": "1821984238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 KINGS VIEW DR",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582019266",
"telephone_number": "218-230-0853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "749 S 30TH ST APT 23",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014082",
"telephone_number": "218-230-2171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "MANDY",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-06-13",
"last_updated": "2025-06-13",
"certification_date": "2025-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "2900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.