Active NPI
Jenna Maher, PT, DPT, ATC
- Physical Therapist
- Dickinson, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2105
- Practice address
- 1531 W Villard St
Dickinson, ND 58601-4657 - Phone
- (701) 225-7575
- NPI assigned
- Jun 1, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2105 | ND | Primary |
| Athletic Trainer | 2255A2300X |
Addresses
Primary practice location
1531 W Villard St
Dickinson, ND 58601-4657
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other names 1
- Jenna Giesick
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2615 Fairway St
Dickinson, ND 58601-2590
Phone (701) 456-6000
3318 N 14TH St
Bismarck, ND 58503-1614
Phone (701) 323-8300
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.63 of 100
- Quality
- 89.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2105 | ND | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Bismarck | Current | Accepting new patients | |
| Sanford Bismarck | Past | Accepting new patients |
Locations
3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300
2615 Fairway St
Dickinson, ND 58601
Phone (701) 456-6000
1531 W Villard St
Dickinson, ND 58601
Phone (701) 225-7575
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Sanford Health Occupational Medicine Clinic
- Occupational Medicine Clinic/Center
- Dickinson, ND
- NPI 1669524351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1922590223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1531 W VILLARD ST",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586014657",
"telephone_number": "701-225-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHER",
"first_name": "JENNA",
"credential": "PT, DPT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-01",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "2105",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNA",
"last_name": "GIESICK",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dickinson, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.