| Orthopedic & Sports Physical Therapy Inc. | |
|
112 5th St Sw, Hankinson, ND 58041-4417 | |
| (701) 242-7323 | |
| (701) 242-7797 |
| Full Name | Orthopedic & Sports Physical Therapy Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 112 5th St Sw, Hankinson, 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 |
|---|---|---|---|
| 1225215338 | NPI | - | NPPES |
| 26722 | Other | ND | ND BCBS |
| 03N04OR | Other | MN | MN BCBS |
| 64-06755 | Other | MN | MEDICA |
| DD3739 | Other | ND | RAILROAD MEDICARE |
| 54541 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1180 (North Dakota) | Primary |
| 225100000X | Physical Therapist | 6521 (Minnesota) | Secondary |
| Provider Name | Shawn M Krause Roberts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861449019 PECOS PAC ID: 7113971631 Enrollment ID: I20060628000043 |
| Provider Name | Peggy J Wasemiller |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225069693 PECOS PAC ID: 0345241527 Enrollment ID: I20070131000345 |
| Provider Name | Tera D Paulson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609829621 PECOS PAC ID: 3779581582 Enrollment ID: I20071228000005 |
| Provider Name | Desiree M Wildeman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205100203 PECOS PAC ID: 8325362379 Enrollment ID: I20150121001999 |
| Provider Name | Kelsey Wienbar |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1659827848 PECOS PAC ID: 2466748694 Enrollment ID: I20160927001626 |
| Provider Name | Karlene Nelson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013448778 PECOS PAC ID: 7315223989 Enrollment ID: I20170413001747 |
| Provider Name | Taylor Scott Karger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487319331 PECOS PAC ID: 9234528266 Enrollment ID: I20211216001410 |
| Mailing Address | Practice Location Address |
|---|---|
| Orthopedic & Sports Physical Therapy Inc. 430 5th St N, Breckenridge, MN 56520-1426 Ph: (218) 641-7725 | Orthopedic & Sports Physical Therapy Inc. 112 5th St Sw, Hankinson, ND 58041-4417 Ph: (701) 242-7323 |
Brooke Josephine Hought, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 112 5th St Sw, Hankinson, ND 58041 Phone: 701-242-7323 |