Active NPI
Taylor Neshem, PT, DPT
- Physical Therapist
- Minot, ND
National Provider Identifier
1982052817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1931
- Practice address
- 101 3Rd Ave SW
Minot, ND 58701-3880 - Phone
- (701) 857-3491
- Fax
- (701) 857-5694
- NPI assigned
- Jun 1, 2016
- Sex
- Male
- 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 | 1931 | ND | Primary |
Addresses
Primary practice location
101 3Rd Ave SW
Minot, ND 58701-3880
Mailing address
PO Box 5020
Minot, ND 58702-5020
Phone (701) 857-5105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
34637 Airline Rd
Pauls Valley, OK 73075-8583
Phone (405) 238-7000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1931 | ND | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PTMS 3.0, LLC | Physical Therapist | Current | Accepting new patients |
| PTMS 3.0, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
440 Merchant Dr
Norman, OK 73069
Phone (405) 579-1600
34637 Airline Rd
Pauls Valley, OK 73075
Phone (405) 238-7000
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.
-
- Physical Therapist
- Norman, OK
- NPI 1942690375
-
- Physical Therapist
- Bethany, OK
- NPI 1972056786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464739200000",
"number": "1982052817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5020",
"city": "MINOT",
"state": "ND",
"postal_code": "587025020",
"telephone_number": "701-857-5105",
"fax_number": "701-857-5646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 3RD AVE SW",
"city": "MINOT",
"state": "ND",
"postal_code": "587013880",
"telephone_number": "701-857-3491",
"fax_number": "701-857-5694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESHEM",
"first_name": "TAYLOR",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-01",
"last_updated": "2016-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "1931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.