Suedel Therapeutics PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

SUEDEL THERAPEUTICS PLLC

Doing business as

Suedel Therapeutics & Wellness

Practice address

3535 S 31St St Ste 105
Grand Forks, ND 58201-3592

Phone

(701) 317-2897

Fax

(701) 213-4345

NPI assigned

Jan 14, 2020

Last updated

Oct 18, 2022By 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

Stephanie Suedel, OTNPI 1053505214

Title

Authorized Official

Phone

(701) 317-2897

Specialties & licenses 2

Addresses

Other names 1

• Suedel Therapeutics & Wellness Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Locations

Practitioners 11

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.

• Angela Dora Avalos, PT, MPT

  • Physical Therapist
  • Grand Forks, ND
  • NPI 1619170115
  Medicare reassignment Care Compare group NPD
• Adam James Suedel, PT, DPT

  • Physical Therapist
  • Grand Forks, ND
  • NPI 1033309638
  Medicare reassignment Care Compare group NPD
• Stephanie Anne Suedel, MOTR/L

  • Occupational Therapist
  • Grand Forks, ND
  • NPI 1053505214
  Medicare reassignment NPD Authorized official
• Sarah Erickson, DPT

  • Physical Therapist
  • East Grand Forks, MN
  • NPI 1659756328

  ND

  Medicare reassignment Care Compare group NPD
• Michayla Ann Burckhard, OTR/L

  • Occupational Therapist
  • Grand Forks, ND
  • NPI 1467134106
  Medicare reassignment NPD
• Kelsey Marie Demester, OT

  • Occupational Therapist
  • Grand Forks, ND
  • NPI 1386258150
  Medicare reassignment NPD
• Danielle Helgeson, MS,CCC-SLP

  • Speech-Language Pathologist
  • Grand Forks, ND
  • NPI 1679635312
  Medicare reassignment NPD
• Liz Logghe

  • Speech-Language Pathologist
  • Grand Forks, ND
  • NPI 1710602479
  Medicare reassignment NPD
• Heidi L Miller, OT

  • Occupational Therapist
  • Grand Forks, ND
  • NPI 1740902873
  Medicare reassignment NPD
• Heidi J Thompson, M.S.

  • Speech-Language Pathologist
  • Grand Forks, ND
  • NPI 1245593169
  Medicare reassignment NPD
• Sara Campbell, SLP

  • Speech-Language Pathologist
  • Grand Forks, ND
  • NPI 1326973702
  NPD

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1902446271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 S WASHINGTON ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015406",
            "telephone_number": "701-317-2897",
            "fax_number": "701-213-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 S 31ST ST STE 105",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582013592",
            "telephone_number": "701-317-2897",
            "fax_number": "701-213-4345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1311 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582015406",
            "country_code": "US",
            "telephone_number": "701-317-2897",
            "fax_number": "701-213-4345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 N Washington St",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582033450",
            "country_code": "US",
            "telephone_number": "701-317-2897",
            "fax_number": "701-213-4345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUEDEL THERAPEUTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "SUEDEL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "701-317-2897",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "GrandForks",
            "affiliation": "N",
            "address_1": "1311 S Washington St",
            "city": "Grand Forks",
            "state": "ND",
            "country_code": "US",
            "postal_code": "582015406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Suedel Therapeutics & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Suedel Therapeutics & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Success Unlimited Inc
• Valarie Such
• Charles A Suda, LICSW
• Sara Lynne Suda, LCSW
• Sue a Russell PHD PC
• Adam James Suedel, PT, DPT
• Amy Suedel
• Stephanie Anne Suedel, MOTR/L
• David P Sundberg, FNP-C
• Alissa Beth Sundby, MS. OTR/L

• Physical Medicine & Rehabilitation Physician in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Physical Medicine & Rehabilitation Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.