Active NPI
Lincoln Stormer
- Physical Therapist
- Garrison, ND
National Provider Identifier
1831069467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2954
- Practice address
- 407 3Rd Ave SE
Garrison, ND 58540-7235 - Phone
- (701) 463-2275
- NPI assigned
- Nov 8, 2025
- Sex
- Male
- Sole proprietor
- No
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 | 2954 | ND | Primary |
Addresses
Primary practice location
407 3Rd Ave SE
Garrison, ND 58540-7235
Mailing address
4200 Southbay Dr SE
Mandan, ND 58554-6300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2954 | ND | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762560000000",
"number": "1831069467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 SOUTHBAY DR SE",
"city": "MANDAN",
"state": "ND",
"postal_code": "585546300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 3RD AVE SE",
"city": "GARRISON",
"state": "ND",
"postal_code": "585407235",
"telephone_number": "701-463-2275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORMER",
"first_name": "LINCOLN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-08",
"last_updated": "2025-11-08",
"certification_date": "2025-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "2954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garrison, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.