Individual provider Active NPI

Madysen Geneva Rehovsky, PT, DPT

  • Physical Therapist
  • West Fargo, ND
National Provider Identifier
1841920543
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2505 Issued in ND
Practice address
1420 9TH St E Ste 401
West Fargo, ND 58078-3381
Phone
(701) 364-2739
NPI assigned
Jun 15, 2022
Last updated
Jan 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2505 ND Primary
Orthopedic Physical Therapist 2251X0800X 2505 ND

Addresses

Primary practice location

1420 9TH St E Ste 401
West Fargo, ND 58078-3381

Mailing address

1420 9TH St E Ste 401
West Fargo, ND 58078-3381
Phone (701) 364-2739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220727001721 ND Practitioner - Physical Therapist in Private Practice 4486036266 Reassigns benefits to 2 organizations
I20240729002624 MN Practitioner - Physical Therapist in Private Practice 4486036266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of North Dakota School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Home Therapy Solutions LLCGroup PAC ID 2365788569, 11 clinicians

Practice addresses (Care Compare)

39725 255TH St SW
Fisher, MN 56723-9352
Phone (218) 230-2171

749 S 30TH St
Apt 23
Grand Forks, ND 58201-4082
Phone (218) 230-2171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2505NDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Physical Therapy and Wellness Center, PC Physical Therapist CurrentSince Jun 14, 2022 Accepting new patients
Home Therapy Solutions LLC Physical Therapist CurrentSince May 6, 2024 Accepting new patients
Kenn E Iverson DC P C PastSince Jun 1, 2022 Accepting new patients

Locations

4803 38th St S
Ste 102
Fargo, ND 58104
Phone (701) 639-0808

749 S 30th St
Apt 23
Grand Forks, ND 58201
Phone (218) 230-2171

1008 10th St SE
Jamestown, ND 58401
Phone (701) 252-2424

1420 9th St E
Ste 401
West Fargo, ND 58078
Phone (701) 361-2739

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1841920543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 9TH ST E STE 401",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783381",
            "telephone_number": "701-364-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 9TH ST E STE 401",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783381",
            "telephone_number": "701-364-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHOVSKY",
        "first_name": "MADYSEN",
        "middle_name": "GENEVA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "2505",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "ND",
            "license": "2505",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.

Verify at the official NPI Registry.