Individual provider Active NPI

Zachary Thissen, PT, DPT

  • Physical Therapist
  • Fargo, ND
National Provider Identifier
1982387734
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2714 Issued in ND
Practice address
3161 43Rd St S
Fargo, ND 58104-8791
Phone
(701) 893-2639
Fax
(701) 893-2638
NPI assigned
Aug 9, 2023
Last updated
Aug 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2714 ND Primary

Addresses

Primary practice location

3161 43Rd St S
Fargo, ND 58104-8791

Mailing address

3161 43Rd St S
Fargo, ND 58104-8791
Phone (701) 893-2639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230825001437 ND Practitioner - Physical Medicine and Rehabilitation 8527421478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Body Works Physical Therapy LTDGroup PAC ID 2163618794, 8 clinicians

Practice addresses (Care Compare)

3161 43Rd St S
Fargo, ND 58104-8791
Phone (701) 893-2639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Body Works Physical Therapy, LTD. CurrentSince Aug 28, 2023 Accepting new patients
Body Works Physical Therapy, LTD. CurrentSince Aug 13, 2023 Accepting new patients

Locations

3161 43rd St S
Fargo, ND 58104
Phone (701) 893-2639

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": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1982387734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 43RD ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048791",
            "telephone_number": "701-893-2639",
            "fax_number": "701-893-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 43RD ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048791",
            "telephone_number": "701-893-2639",
            "fax_number": "701-893-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THISSEN",
        "first_name": "ZACHARY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "2714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.