Active NPI
Darinda J Trudel, MPT
- Physical Therapist
- Fargo, ND
National Provider Identifier
1891737342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 705
- Practice address
- 2301 25TH St S
Fargo, ND 58103-6104 - Phone
- (701) 280-2212
- Fax
- (701) 271-1023
- NPI assigned
- Jun 11, 2006
- Sex
- Female
- 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 | 705 | ND | Primary |
Addresses
Primary practice location
2301 25TH St S
Fargo, ND 58103-6104
Mailing address
PO Box 103
Glyndon, MN 56547-0103
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 705 | ND | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191196800000",
"number": "1891737342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 103",
"city": "GLYNDON",
"state": "MN",
"postal_code": "565470103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 25TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581036104",
"telephone_number": "701-280-2212",
"fax_number": "701-271-1023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUDEL",
"first_name": "DARINDA",
"middle_name": "J",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-11",
"last_updated": "2007-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.