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NPI Code Detail

MEDICARE: RED DOOR PEDIATRIC THERAPY, INC

MEDICARE: RED DOOR PEDIATRIC THERAPY, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor
2225100000XPhysical Therapist
3225X00000XOccupational Therapist908ND
4235Z00000XSpeech-Language Pathologist862ND

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
17MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
18MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
19MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
25MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
26MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
27MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
29MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
30MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
32MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
33MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
34MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
35MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
36MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639257033
Entity Type Code : Organization
Provider Name (Legal Business Name) : RED DOOR PEDIATRIC THERAPY, INC
Provider Business Mailing Address
First Line : 2625 N 19TH ST
Second Line :
City : BISMARCK
State : ND
Zip : 58503-0574
Country : US
Telephone Number : 701-222-3175
Fax Number : 701-222-3186
Provider Business Practice Location Address
First Line : 2625 N 19TH ST
Second Line :
City : BISMARCK
State : ND
Zip : 58503-0574
Country : US
Telephone Number : 701-222-3175
Fax Number : 701-222-3186
Authorized Official
Title or Position : FINANCIAL/CREDENTIALING
Name : TIA-LEE WHITTED
Credential :
Telephone Number : 701-214-5617
Provider Enumeration Date : 11/02/2006
Last Update Date : 12/05/2024

Similar Medicare Providers

1134050636 — TAYLOR M KEPLIN COTA/L
Practice Location Address:
2625 N 19TH ST
BISMARCK, ND
58503-0574
Practice Phone: 701-222-3175
Practice Fax: 701-222-3186
1104784859 — TAYLOR SAILER DPT
Practice Location Address:
2625 N 19TH ST
BISMARCK, ND
58503-0574
Practice Phone: 701-222-3175
Practice Fax: 701-222-3186
1740372036 — AMANDA GRIFFIN MS, CCC-SLP
Practice Location Address:
2625 N 19TH ST
BISMARCK, ND
58503-0574
Practice Phone: 701-222-3175
Practice Fax: 701-222-3186
1003934878 — MRS. KELLI KATHARINA ELLENBAUM MS, CCC-SLP
Practice Location Address:
2625 N 19TH ST
BISMARCK, ND
58503-0574
Practice Phone: 701-222-3175
Practice Fax: 701-222-3186
1538287305 — HEATHER S ARNT MS, CCC-SLP
Practice Location Address:
2625 N 19TH ST
BISMARCK, ND
58503-0574
Practice Phone: 701-222-3175
Practice Fax: 701-222-3186
1467572214 — MS. BRANDI LEE BREITBACH OT, MOTR/L
Practice Location Address:
2625 N 19TH ST
BISMARCK, ND
58503-0574
Practice Phone: 701-214-5578
Practice Fax: 701-222-3186

Directions to “RED DOOR PEDIATRIC THERAPY, INC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.