Activate Physical Therapy and Wellness
Organization Active NPI Physical Therapy Clinic/Center · Fargo, ND
NPI 1851964423 · NPPES record last updated May 31, 2024
Key facts
- NPI
- 1851964423
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- ACTIVATE PHYSICAL THERAPY AND WELLNESS
- Practice address
- 5675 26TH Ave S Ste 152
Fargo, ND 58104-8975 - Phone
- (701) 371-8088
- NPI assigned
- Jul 21, 2021
- Organization subpart
- No
Authorized official
- Name
- Heather Studsrud, PT, DPT
- Title
- Physical Therapist
- Phone
- (701) 532-2270
Practitioners 8
-
Heather Barry, DPT
-
Emma Botker, PT, DPT
-
Allison Buske, PT, DPT
-
Brittany Peschel, PT,DPT
-
Heather J Studsrud, PT/DPT
-
Kari Torgerson, DPT
-
Kaitlyn Johnson, PT, DPT
-
Olivia Manuel, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211001000363 | ND | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 5799183984 |
Receives reassigned benefits from 6 practitioners Practice locations: Fargo, ND |
National Provider Directory
Locations
5675 26th Ave S
Ste 152
Fargo, ND 58104
Phone (701) 371-8088
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
5675 26TH Ave S Ste 152
Fargo, ND 58104-8975
Mailing address
5675 26TH Ave S Ste 152
Fargo, ND 58104-8975
Phone (701) 532-2270
Other names
- Activate PT
Other providers in Fargo, ND
- John Achu
- Hailen Matthew Ackerman
- Sally Ackerman
- Jennifer Ackerson
- Emily M Acosta
- Active at Home Helpers
- Active at Home Helpers
- Active Family Chiropractic, PC
- Active Glory Health Care
- Jacqueline Ann Adams-Hove
All providers in Fargo, ND · Physical Therapy Clinic/Center in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.