Healthcare Provider Details

I. General information

NPI: 1972346138
Provider Name (Legal Business Name): HOCHHALTER PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2024
Last Update Date: 09/24/2024
Certification Date: 09/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 BUSINESS LOOP W
JAMESTOWN ND
58401-5245
US

IV. Provider business mailing address

314 BUSINESS LOOP W
JAMESTOWN ND
58401-5245
US

V. Phone/Fax

Practice location:
  • Phone: 701-320-1924
  • Fax:
Mailing address:
  • Phone: 701-581-7970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MINDY A HOCHHALTER
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: PT, DPT
Phone: 701-581-7970