Central Dakota Physical Therapy, PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

0942 Issued in ND

Legal business name

CENTRAL DAKOTA PHYSICAL THERAPY, PC

Practice address

800 4TH St N
Carrington, ND 58421-1217

Phone

(701) 652-7179

Fax

(701) 652-1407

NPI assigned

Feb 13, 2015

Last updated

Feb 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kyle E SmithNPI 1669681631

Title

President

Phone

(701) 652-7179

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyle Smith

  • Physical Therapist
  • Carrington, ND
  • NPI 1669681631
  Authorized official Same address or phone

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1891186722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 4TH ST N",
            "address_2": "PO BOX 461",
            "city": "CARRINGTON",
            "state": "ND",
            "postal_code": "584211217",
            "telephone_number": "701-652-7179",
            "fax_number": "701-652-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 4TH ST N",
            "city": "CARRINGTON",
            "state": "ND",
            "postal_code": "584211217",
            "telephone_number": "701-652-7179",
            "fax_number": "701-652-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL DAKOTA PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-652-7179"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "ND",
            "license": "0942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1669681631",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrington Health Center (CHI St. Alexius Health Carrington)
• Carrington Health Center (CHI St Alexius Health Carrington)
• Carrington Health Center (CHI St. Alexius Health Carrington Medical Clinic & Urgent Care)
• Carrington Health Center (Presentation Hospice)
• Central Clinic
• Central Pharmacy Inc
• Chaz J Bauer DDS PC
• County of Foster (Foster County Public Health)
• Steven Eichele
• Megan Marie Ekren, LPCC, LMAC

• Physical Therapy Clinic/Center in Carrington, ND
• Providers in Carrington, ND by specialty
• Physical Therapy Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.