Healthcare Provider Details

I. General information

NPI: 1770093676
Provider Name (Legal Business Name): REBECCA ANN PARR PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA VALLEROY

II. Dates (important events)

Enumeration Date: 10/05/2017
Last Update Date: 12/26/2025
Certification Date: 12/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 N 9TH ST
BISMARCK ND
58501-4515
US

IV. Provider business mailing address

PO BOX 1397
BISMARCK ND
58502-1397
US

V. Phone/Fax

Practice location:
  • Phone: 701-946-7500
  • Fax:
Mailing address:
  • Phone: 701-946-7500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2064
License Number StateWY
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2978
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: