NPIMap

Organization Active NPI

Mobilityplus Rehabilitation, LTD

  • Physical Therapist
  • Enderlin, ND
National Provider Identifier
1982807723
Registry record updated Aug 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MOBILITYPLUS REHABILITATION, LTD
Practice address
110 Hillcrest Dr
Enderlin, ND 58027-1129
Phone
(701) 437-3782
NPI assigned
Jun 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2017

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

Authorized official

Name
Ryan R Lorenz, PT, DPT
Title
President
Phone
(701) 678-2244

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

110 Hillcrest Dr
Enderlin, ND 58027-1129

Mailing address

110 Hillcrest Dr
Enderlin, ND 58027-1129
Phone (701) 437-3782

Other identifiers 1

IdentifierTypeStateIssuer
51106MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060922000150 ND Part B Supplier - Clinic/Group Practice 3072517911 Receives reassigned benefits from 9 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gwinner, ND; Lisbon, ND; Valley City, ND; Enderlin, ND

National Provider Directory

National Provider Directory
Tax ID family
Mobilityplus Rehabilitation LTD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

110 Hillcrest Dr
Enderlin, ND 58027
Phone (701) 437-3544

Ownership & related parties

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504137600000",
    "number": "1982807723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HILLCREST DR",
            "city": "ENDERLIN",
            "state": "ND",
            "postal_code": "580271129",
            "telephone_number": "701-437-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HILLCREST DR",
            "city": "ENDERLIN",
            "state": "ND",
            "postal_code": "580271129",
            "telephone_number": "701-437-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITYPLUS REHABILITATION, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2017-08-31",
        "status": "A",
        "authorized_official_last_name": "LORENZ",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-678-2244",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51106",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enderlin, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; 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.