Professional Rehabilitation Center

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1933 Issued in ND

Legal business name

PROFESSIONAL REHABILITATION CENTER

Practice address

1711 Gold Dr S
Suite 120
Fargo, ND 58103-6416

Phone

(701) 451-9417

Fax

(701) 298-0066

NPI assigned

Apr 17, 2017

Organization subpart

No

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

Authorized official

Name

Jonathan Scherbenske, PT, DPT

Title

Physical Therapist

Phone

(701) 451-9417

Specialties & licenses 1

Addresses

Other names 1

• ProRehab Center Doing business as

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492387200000",
    "number": "1972037935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 GOLD DR S",
            "address_2": "SUITE 120",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036416",
            "telephone_number": "701-451-9417",
            "fax_number": "701-298-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 GOLD DR S",
            "address_2": "SUITE 120",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036416",
            "telephone_number": "701-451-9417",
            "fax_number": "701-298-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-17",
        "last_updated": "2017-04-17",
        "status": "A",
        "authorized_official_last_name": "SCHERBENSKE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "701-451-9417",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "ND",
            "license": "1933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProRehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Savannah Leigh Prodzinski, PA-C
• Professional Association of Treatment Homes
• Professional Optical
• Professional Optical
• Professional Rehabilitation Center
• Professional Rehabilitation Center Inc
• Professional Rehabilitation Center Inc
• Professional Rehabilitation Center Inc
• Progress Weight Management PLLC
• Progressive Therapy Associates

• Physical Therapy Clinic/Center in Fargo, ND
• Providers in Fargo, ND by specialty
• Physical Therapy Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.