Individual provider Active NPI

Morgan Marie Klassen, DPT, PT

  • Physical Therapist
  • Grand Forks, ND
National Provider Identifier
1932817582
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2615 Issued in ND
Practice address
1811 S Washington St
Grand Forks, ND 58201-6337
Phone
(701) 757-3045
NPI assigned
Nov 14, 2022
Last updated
Aug 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2615 ND Primary
Pediatric Physical Therapist 2251P0200X 2615 ND

Addresses

Primary practice location

1811 S Washington St
Grand Forks, ND 58201-6337

Mailing address

1811 S Washington St
Grand Forks, ND 58201-6337
Phone (701) 757-3045

Other practice location 1

419 Atlantic Ave
Thief River Falls, MN 56701-2044
Phone (218) 416-1482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221221001896 ND Practitioner - Physical Therapist in Private Practice 4486024122 Reassigns benefits to 2 organizations
I20250417001454 MN Practitioner - Physical Therapist in Private Practice 4486024122 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2615NDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Therapy Partners, Inc. Physical Therapist CurrentSince Apr 17, 2024 Accepting new patients
Little Miracles, Inc. CurrentSince Nov 14, 2022 Accepting new patients

Locations

419 Atlantic Ave
Thief River Falls, MN 56701
Phone (218) 416-1482

3060 Frontier Way S
Fargo, ND 58104
Phone (701) 356-4384

1811 S Washington St
Grand Forks, ND 58201
Phone (701) 757-3045

2200 Library Cir
Grand Forks, ND 58201
Phone (701) 757-2155

2951 S 34th St
Grand Forks, ND 58201
Phone (701) 772-3851

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1932817582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 S WASHINGTON ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016337",
            "telephone_number": "701-757-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 S WASHINGTON ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016337",
            "telephone_number": "701-757-3045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Thief River Falls",
            "state": "MN",
            "postal_code": "567012044",
            "country_code": "US",
            "telephone_number": "218-416-1482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLASSEN",
        "first_name": "MORGAN",
        "middle_name": "MARIE",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "2615",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "ND",
            "license": "2615",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Aug 16, 2024; 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.