Active NPI
Peggy M Mohr, PT
- Physical Therapist
- Grand Forks, ND
National Provider Identifier
1922178177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 819
- Practice address
- 1425 S Columbia Rd
Grand Forks, ND 58201-4039 - Phone
- (701) 746-8374
- Fax
- (701) 780-0885
- NPI assigned
- Nov 8, 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 | 819 | ND | Primary |
Addresses
Primary practice location
1425 S Columbia Rd
Grand Forks, ND 58201-4039
Mailing address
1425 S Columbia Rd
Grand Forks, ND 58201-4039
Phone (701) 746-8374
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26839 | Other | ND | NDBCBS |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 819 | ND | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922178177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 S COLUMBIA RD",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014039",
"telephone_number": "701-746-8374",
"fax_number": "701-780-0885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 S COLUMBIA RD",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014039",
"telephone_number": "701-746-8374",
"fax_number": "701-780-0885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHR",
"first_name": "PEGGY",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "819",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NDBCBS",
"identifier": "26839",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.