Active NPI
Ashley Suckstorff
- Physical Therapist
- Fargo, ND
National Provider Identifier
1932576451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2040
- Practice address
- 3001 11TH St S
Fargo, ND 58103-6048 - Phone
- (701) 356-0062
- NPI assigned
- Sep 1, 2015
- 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 | 2040 | ND | Primary |
Addresses
Primary practice location
3001 11TH St S
Fargo, ND 58103-6048
Mailing address
3001 11TH St S
Fargo, ND 58103-6048
Other practice location 1
300 N 7th St
Bismarck, ND 58501-4439
Phone (701) 323-6097
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 |
|---|---|---|---|
| 2040 | ND | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond Boundaries Speech Language Therapy, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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 Beyond Boundaries Therapy & Wellness
- Speech-Language Pathologist
- Fargo, ND
- NPI 1790999605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1932576451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 11TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581036048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 11TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581036048",
"telephone_number": "701-356-0062"
}
],
"practiceLocations": [
{
"address_1": "300 N 7th St",
"address_purpose": "LOCATION",
"city": "Bismarck",
"state": "ND",
"postal_code": "585014439",
"country_code": "US",
"telephone_number": "701-323-6097",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUCKSTORFF",
"first_name": "ASHLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-01",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "2040",
"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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.