Emily N Mundahl, DOCTOR OF PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2538 Issued in ND

Practice address

606 1St St NW
Mandan, ND 58554-3121

Phone

(701) 667-0745

Fax

(701) 667-0707

NPI assigned

Aug 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dakota Physical Therapy P CGroup PAC ID 6002803566, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dakota Physical Therapy P C

  • Physical Therapy Clinic/Center
  • Mandan, ND
  • NPI 1740211267
  Medicare reassignment Care Compare group
• Dakota Physical Therapy, P C

  • Physical Therapy Clinic/Center
  • Bismarck, ND
  • NPI 1588797922
  NPD

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1942975784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 1ST ST NW",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543121",
            "telephone_number": "701-667-0745",
            "fax_number": "701-667-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 1ST ST NW",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543121",
            "telephone_number": "701-667-0745",
            "fax_number": "701-667-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDAHL",
        "first_name": "EMILY",
        "middle_name": "N",
        "credential": "DOCTOR OF PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "2538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Nolen Mott, CNA
• Rachel Motta, D.C.
• Amy Moyle
• Labyan Mulbah
• Melissa Muldoon
• Nagel Family Chiropractic and Wellness LLC
• Steven Allen Nagel, D.C.
• Cherise Nash
• Shannon Nash
• ND Teen Challengechrist Centered Treatment Program

• Physical Therapist in Mandan, ND
• Providers in Mandan, ND by specialty
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.

Verify at the official NPI Registry.