PRO REHAB CENTER, INC
NPI 1215014105
Physical Therapist in Fargo, ND
NPI Status: Active since November 01, 2006
Contact Information
4450 31ST AVE S STE 104
FARGO, ND
ZIP 58104
Phone: (701) 451-9417
Fax: (701) 298-0066
- Organization
- Physical Therapist
- Accepts Insurance
About PRO REHAB CENTER, INC
This page provides the complete NPI Profile along with additional information for Pro Rehab Center, Inc, a provider established in Fargo, North Dakota operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1215014105 assigned on November 2006. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Pro Rehab Center, Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Pro Rehab Center, Inc. The authorized official of this NPI record is Ms. Tina D Fonder (Office Manager)
- NPI
- 1215014105
- Provider Legal Name
- PROFESSIONAL REHABILITATION CENTER INC
- Other Organization Name
- PRO REHAB CENTER, INC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4450 31ST AVE S STE 104 FARGO, ND 58104
- Location Phone
- (701) 451-9417
- Location Fax
- (701) 298-0066
- Mailing Address
- 4450 31ST AVE S STE 104 FARGO, ND 58104
- Mailing Phone
- (701) 451-9417
- Mailing Fax
- (701) 298-0066
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-01-2006
- Last Update Date
- 10-29-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist
- Taxonomy Code
- 225100000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License State
- ND
- Taxonomy Description
- Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | (ND) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare Gold $25 PCP Copay ($5 Value Based Drug List) - PPO
- BlueCare Silver $45 PCP Copay ($5 Value Based Drug List) - PPO
- BlueDirect Bronze 100 HSA Eligible ($7500 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
- BlueEssential Catastrophic 100 $9200 Deductible - PPO
- BlueValue Bronze $50 PCP Copay (Standardized plan) - PPO
- BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
- BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
- DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - HMO
- Sanford Individual TRUE $1,750 - HMO
- Sanford Individual TRUE $3,500 - HMO
- Sanford Individual TRUE $4,750 - HMO
- Sanford Individual TRUE $6,000 - HMO
- Sanford Individual TRUE $7,100 HSA Qualified - HMO
- Sanford Individual TRUE $9,200 - HMO
- Sanford Individual TRUE Standardized $1,500 - HMO
- Sanford Individual TRUE Standardized $5,000 - HMO
- Sanford Individual TRUE Standardized $7,500 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| O18T6PR | OTHER (01) | MN | BLUE CROSS BLUE SHIELD MN |
| 53165 | MEDICAID (05) | ND | |
| 552323100 | MEDICAID (05) | MN | |
| 018T6PR | OTHER (01) | MN | BLUE PLUS OF MINNESOTA |
| 5517001 | OTHER (01) | ND | BLUE CROSS BLUE SHIELD ND |
| 53170 | MEDICAID (05) | ND |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 1 | 5 | 0 | 1 | 4 | 1 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 0 | 1 | 8 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 0 + 1 + 8 + 1 + 0 + 24 = 45 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 45 = 5 | 5 | ||||||||
The NPI number 1215014105 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1215908876 | MR. TOM L BAUMGARTNER JR. MPT Individual | Physical Medicine & Rehabilitation | 4450 31ST AVE S STE 104 FARGO, ND 58104 (701) 451-9417 |
| 1548240104 | MR. LYNDEN H KURTZ PT Individual | Physical Medicine & Rehabilitation | 4450 31ST AVE S STE 104 FARGO, ND 58104 (701) 451-9417 |
| 1750361002 | MRS. HEATHER ENGLAND DPT Individual | Physical Medicine & Rehabilitation | 4450 31ST AVE S STE 104 FARGO, ND 58104 (701) 451-9417 |
| 1992851695 | JESSICA M BAUMGARTNER O.T.R/L Individual | Occupational Therapist | 4450 31ST AVE S STE 104 FARGO, ND 58104 (701) 451-9417 |
| 1710187430 | MRS. JULIE ANN KOERNER OTR/L Individual | Occupational Therapist | 4450 31ST AVE S STE 104 FARGO, ND 58104 (701) 451-9417 |
| 1053652974 | BRITTANY L HAUGO PT/DPT Individual | Physical Therapist | 4450 31ST AVE S STE 104 FARGO, ND 58104 (701) 451-9417 |
| 1790198190 | DENISE SCHRAM PT/DPT Individual | Physical Therapist | 4450 31ST AVE S STE 104 FARGO, ND 58104 (701) 451-9417 |
| 1952946444 | SHAUNNA MESSMER-LAVALLEY PT, DPT Individual | Physical Therapist | 4450 31ST AVE S STE 104 FARGO, ND 58104 (701) 451-9417 |
| 1477229805 | ANNA FOSS PT, DPT Individual | Physical Therapist | 4450 31ST AVE S STE 104 FARGO, ND 58104 (701) 451-9417 |
| 1649745159 | BRIDGET ANN JUHNKE PT, DPT Individual | Physical Therapist | 4450 31ST AVE S STE 104 FARGO, ND 58104 (701) 451-9417 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215014105, enumerated in the NPI registry as an "organization" on November 01, 2006
The provider is located at 4450 31st Ave S Ste 104 Fargo, Nd 58104 and the phone number is (701) 451-9417
This medical organization specializes in Physical Therapist with taxonomy code 225100000X
The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota, Medica,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on November 01, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.