Elite Pt | |
1674 15th St W Ste 1, Dickinson, ND 58601-2811 | |
(701) 260-2046 | |
Not Available |
Full Name | Elite Pt |
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Type | Facility |
Speciality | Physical Therapist |
Location | 1674 15th St W Ste 1, Dickinson, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134649734 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Suzanne Sobolik |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1699867580 PECOS PAC ID: 1557380698 Enrollment ID: I20051117000360 |
Provider Name | Shane M Weber |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205120920 PECOS PAC ID: 1254509623 Enrollment ID: I20110801000020 |
Provider Name | Rachel L Monroe |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1871926113 PECOS PAC ID: 7810123387 Enrollment ID: I20131112001346 |
Provider Name | Luke Steiner |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982016960 PECOS PAC ID: 6406075654 Enrollment ID: I20171012001158 |
Provider Name | Tyson Lee Kudrna |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558983437 PECOS PAC ID: 6507288826 Enrollment ID: I20210930003096 |
Provider Name | Talon Jacob Staudinger |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245704006 PECOS PAC ID: 5193173516 Enrollment ID: I20231127000347 |
Mailing Address | Practice Location Address |
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Elite Pt 642 17th Ave E, Dickinson, ND 58601-3742 Ph: () - | Elite Pt 1674 15th St W Ste 1, Dickinson, ND 58601-2811 Ph: (701) 260-2046 |
Roberta Wock, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 30 7th St W, Dickinson, ND 58601 Phone: 701-456-4000 Fax: 701-456-4805 | |
Teresa Bleich, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30 7th St W, Dickinson, ND 58601 Phone: 701-456-4000 Fax: 701-456-4805 | |
Hannah Lee Freiboth, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1462 I94 Business Loop E Unit 1, Dickinson, ND 58601 Phone: 701-872-6724 Fax: 701-353-2073 | |
Nicholl Jurgens-dinius, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1531 W Villard St Ste A, Dickinson, ND 58601 Phone: 701-225-7575 Fax: 701-225-9697 | |
Lexi Hauck, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 448 21st St W, Ste D1, Dickinson, ND 58601 Phone: 701-483-1000 | |
Mr. Shane Michael Weber, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1674 15th Street West, Suite #1, Dickinson, ND 58601 Phone: 701-483-8686 Fax: 701-483-8644 |