Revitalize Physical Therapy Pllc in Dickinson, ND - Medicare Physical Therapist Provider

Revitalize Physical Therapy Pllc is a medicare enrolled "Physical Therapist" provider in Dickinson, North Dakota. Their current practice location is 1462 I94 Business Loop E Unit 1, Dickinson, North Dakota. You can reach out to their office (for appointments etc.) via phone at (701) 483-8806.

Revitalize Physical Therapy Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Revitalize Physical Therapy Pllc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1861153090.

Contact Information

	Revitalize Physical Therapy Pllc
	1462 I94 Business Loop E Unit 1, Dickinson, ND 58601-6419
	(701) 483-8806
	(701) 483-8812

Map and Direction

Healthcare Provider's Profile

Full Name	Revitalize Physical Therapy Pllc
Type	Facility
Speciality	Physical Therapist
Location	1462 I94 Business Loop E Unit 1, Dickinson, North Dakota
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861153090
Provider Enumeration Date: 01/10/2022
Last Update Date: 02/08/2023

Medicare PECOS Information:

PECOS PAC ID: 0547653545
Enrollment ID: O20220321002563

Medical Identifiers

Medical identifiers for Revitalize Physical Therapy Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861153090	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Revitalize Physical Therapy Pllc acts as a billing entity for following providers:

Provider Name	Hannah Lee Freiboth
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1104586841 PECOS PAC ID: 4284027285 Enrollment ID: I20220216001172

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Revitalize Physical Therapy Pllc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Revitalize Physical Therapy Pllc 1462 I94 Business Loop E Unit 1, Dickinson, ND 58601-6419 Ph: (701) 872-6724	Revitalize Physical Therapy Pllc 1462 I94 Business Loop E Unit 1, Dickinson, ND 58601-6419 Ph: (701) 483-8806

Reviews and Comments

Physical Therapist in Dickinson, ND

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
Elite Pt Physical Therapist Medicare: Medicare Enrolled Practice Location: 1674 15th St W Ste 1, Dickinson, ND 58601 Phone: 701-260-2046
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

Revitalize Physical Therapy Pllc - Medicare Physical Therapist in Dickinson, ND