| Pro Rehab Center, Inc | |
|
4450 31st Ave S Ste 104, Fargo, ND 58104-4557 | |
| (701) 451-9417 | |
| (701) 298-0066 |
| Full Name | Pro Rehab Center, Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4450 31st Ave S Ste 104, Fargo, 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 |
|---|---|---|---|
| 1215014105 | NPI | - | NPPES |
| 018T6PR | Other | MN | BLUE PLUS OF MINNESOTA |
| 53165 | Medicaid | ND | |
| 552323100 | Medicaid | MN | |
| 53170 | Medicaid | ND | |
| O18T6PR | Other | MN | BLUE CROSS BLUE SHIELD MN |
| 5517001 | Other | ND | BLUE CROSS BLUE SHIELD ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (North Dakota) | Primary |
| 225X00000X | Occupational Therapist | (North Dakota) | Secondary |
| Provider Name | Thomas L Baumgartner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215908876 PECOS PAC ID: 5395752257 Enrollment ID: I20060321000057 |
| Provider Name | Lynden H Kurtz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548240104 PECOS PAC ID: 4486661345 Enrollment ID: I20060321000081 |
| Provider Name | Heather A England |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750361002 PECOS PAC ID: 7214944917 Enrollment ID: I20060321000093 |
| Provider Name | Jessica M Baumgartner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992851695 PECOS PAC ID: 0648330704 Enrollment ID: I20081119000224 |
| Provider Name | Brittany L Haugo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053652974 PECOS PAC ID: 1557507738 Enrollment ID: I20130412000310 |
| Provider Name | Sarah J Wilson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295076750 PECOS PAC ID: 1355580739 Enrollment ID: I20130614000362 |
| Provider Name | Denise V Schram |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790198190 PECOS PAC ID: 7416174404 Enrollment ID: I20140814002794 |
| Provider Name | Jonathan L Scherbenske |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932556446 PECOS PAC ID: 7618260480 Enrollment ID: I20160801002675 |
| Provider Name | Julie A Koerner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710187430 PECOS PAC ID: 2365708716 Enrollment ID: I20171117001463 |
| Provider Name | Shauna R Nelson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003393000 PECOS PAC ID: 8628313582 Enrollment ID: I20181220001754 |
| Provider Name | Shaunna A Messmer-lavalley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952946444 PECOS PAC ID: 9830529320 Enrollment ID: I20200424000179 |
| Provider Name | Kaley M Stotz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952976623 PECOS PAC ID: 9638574338 Enrollment ID: I20210818002151 |
| Provider Name | Bridget A Juhnke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649745159 PECOS PAC ID: 4284030867 Enrollment ID: I20210907002246 |
| Provider Name | Anna N Foss |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477229805 PECOS PAC ID: 1951791953 Enrollment ID: I20211207000175 |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Rehab Center, Inc 4450 31st Ave S Ste 104, Fargo, ND 58104-4557 Ph: (701) 451-9417 | Pro Rehab Center, Inc 4450 31st Ave S Ste 104, Fargo, ND 58104-4557 Ph: (701) 451-9417 |
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 |