Jodi Lynn Crockett, PT | |
2401 41st St S, Fargo, ND 58104-7783 | |
(701) 478-7868 | |
Not Available |
Full Name | Jodi Lynn Crockett |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 25 Years |
Location | 2401 41st St S, Fargo, North Dakota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992800551 | NPI | - | NPPES |
55086 | Medicaid | ND | |
318295900 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 6503 (Minnesota) | Secondary |
225100000X | Physical Therapist | 1288 (North Dakota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Big Stone Therapies Fargo Inc | 3072894807 | 7 |
Provider Name | Big Stone Therapies Fargo Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1194021873 PECOS PAC ID: 3072894807 Enrollment ID: O20170113002544 |
Mailing Address | Practice Location Address |
---|---|
Jodi Lynn Crockett, PT 500 Cross St, Big Stone City, SD 57216-8237 Ph: (605) 541-1140 | Jodi Lynn Crockett, PT 2401 41st St S, Fargo, ND 58104-7783 Ph: (701) 478-7868 |
Professional Rehabilitation Center Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4420 37th Ave S, Fargo, ND 58104 Phone: 701-451-9417 | |
Mikaela Joy Dick, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1461 Broadway N, Fargo, ND 58102 Phone: 701-293-6037 | |
Adrienne Erdmann, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2401 41st St S, Fargo, ND 58104 Phone: 701-478-7868 | |
Denise R Kroke, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2301 25th St S, Fargo, ND 58103 Phone: 701-280-2212 Fax: 701-271-1023 | |
Sana Ali, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078 | |
Ms. Theresa Marie Cowles, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-5799 | |
Mrs. Brittany Sue Anderson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3001 11th St S, Fargo, ND 58103 Phone: 701-356-0062 Fax: 701-356-5412 |