| Red Door Pediatric Therapy, Inc | |
|
2625 N 19th St Bismarck ND 58503-0574 | |
| (701) 222-3175 | |
| (701) 222-3186 |
| Full Name | Red Door Pediatric Therapy, Inc |
|---|---|
| Speciality | Speech-Language Pathologist |
| Location | 2625 N 19th St, Bismarck, North Dakota |
| Authorized Official Name and Position | Tia-lee Whitted (FINANCIAL/CREDENTIALING) |
| Authorized Official Contact | 7012145617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Door Pediatric Therapy, Inc 2625 N 19th St Bismarck ND 58503-0574 Ph: (701) 222-3175 | Red Door Pediatric Therapy, Inc 2625 N 19th St Bismarck ND 58503-0574 Ph: (701) 222-3175 |
| NPI Number | 1639257033 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 12/05/2024 |
| Certification Date | 12/05/2024 |
| Medicare PECOS PAC ID | 9739571647 |
|---|---|
| Medicare Enrollment ID | O20220126000470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639257033 | NPI | - | NPPES |
| 1451283 | Medicaid | ND | |
| 1461975 | Medicaid | ND | |
| 1467615 | Medicaid | ND | |
| 1469028 | Medicaid | ND | |
| 1470224 | Medicaid | ND | |
| 1480766 | Medicaid | ND | |
| 1452184 | Medicaid | ND | |
| 1454835 | Medicaid | ND | |
| 1480013 | Medicaid | ND | |
| 1468739 | Medicaid | ND | |
| 1459139 | Medicaid | ND | |
| 1461503 | Medicaid | ND | |
| 1465117 | Medicaid | ND | |
| 1465122 | Medicaid | ND | |
| 1466654 | Medicaid | ND | |
| 1474097 | Medicaid | ND | |
| 1454897 | Medicaid | ND | |
| 1459816 | Medicaid | ND | |
| 1477950 | Medicaid | ND | |
| 1477997 | Medicaid | ND | |
| 1452040 | Medicaid | ND | |
| 1463121 | Medicaid | ND | |
| 1464384 | Medicaid | ND | |
| 1464388 | Medicaid | ND | |
| 1480833 | Medicaid | ND | |
| 1454300 | Medicaid | ND | |
| 1466867 | Medicaid | ND | |
| 1468069 | Medicaid | ND | |
| 1469164 | Medicaid | ND | |
| 1476591 | Medicaid | ND | |
| 1477752 | Medicaid | ND | |
| 1450786 | Medicaid | ND | |
| 1452036 | Medicaid | ND | |
| 1454142 | Medicaid | ND | |
| 1477918 | Medicaid | ND | |
| 1481160 | Medicaid | ND |
| Provider Name | Linaya K Ming |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1023371374 PECOS PAC ID: 3678896834 Enrollment ID: I20141219002185 |
| Provider Name | Courtney Kraft |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093289241 PECOS PAC ID: 8123369071 Enrollment ID: I20190403000925 |
| Provider Name | Sydney Nelson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1598389983 PECOS PAC ID: 4981026465 Enrollment ID: I20200630001421 |
| Provider Name | Alyssa Turner-strong |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588262778 PECOS PAC ID: 2365854163 Enrollment ID: I20210125001534 |
| Provider Name | Steven Nicholas Hertz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043779358 PECOS PAC ID: 5698170330 Enrollment ID: I20210818003982 |
| Provider Name | Madison Jensen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467022400 PECOS PAC ID: 8426453507 Enrollment ID: I20210827001617 |
| Provider Name | Cherae C Reeves |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891465704 PECOS PAC ID: 2668879289 Enrollment ID: I20210924001285 |
| Provider Name | Brianna Peterman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467123042 PECOS PAC ID: 4587052501 Enrollment ID: I20211025001982 |
| Provider Name | Crystal Baerwald |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1588144539 PECOS PAC ID: 1153660030 Enrollment ID: I20220228000302 |
| Provider Name | Hannah E Scott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487179578 PECOS PAC ID: 2163801234 Enrollment ID: I20220620001885 |
| Provider Name | Peyton Taylor Boom |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760228472 PECOS PAC ID: 4688115330 Enrollment ID: I20240920002094 |
| Provider Name | Gabrielle M Furman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1750123964 PECOS PAC ID: 6406397157 Enrollment ID: I20240920002106 |
| Provider Name | Serena E Ratzlaff |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871334607 PECOS PAC ID: 8527509280 Enrollment ID: I20240920002381 |
| Provider Name | Brianna Lynn Mittelsteadt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922460757 PECOS PAC ID: 0840731485 Enrollment ID: I20240923001632 |
| Provider Name | Heather S Arnt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538287305 PECOS PAC ID: 2466844378 Enrollment ID: I20241011000261 |
| Provider Name | Kelli Katharina Ellenbaum |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1003934878 PECOS PAC ID: 1557753464 Enrollment ID: I20241015001224 |
| Provider Name | Amber R Fox |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1750566618 PECOS PAC ID: 0244766442 Enrollment ID: I20241211003287 |
| Provider Name | Shelby K Von Wahlde |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366117715 PECOS PAC ID: 6507392495 Enrollment ID: I20241216003418 |
| Provider Name | Sara Erickson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083052948 PECOS PAC ID: 7214464940 Enrollment ID: I20241219001709 |
| Provider Name | Erin Imsland |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518413483 PECOS PAC ID: 6608303151 Enrollment ID: I20241220003094 |
| Provider Name | Karolynn D Winger |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1952142176 PECOS PAC ID: 6406383926 Enrollment ID: I20241223001757 |
| Provider Name | Amanda Griffin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1740372036 PECOS PAC ID: 3274060611 Enrollment ID: I20241223003186 |
| Provider Name | Geena Elizabeth Schmidt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568962363 PECOS PAC ID: 1951838325 Enrollment ID: I20241224000755 |
| Provider Name | Amber C Rice |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1386210318 PECOS PAC ID: 7214464684 Enrollment ID: I20241224000790 |
| Provider Name | Jorden Mckae Beckman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1821446782 PECOS PAC ID: 7113454596 Enrollment ID: I20241224000856 |
| Provider Name | Alissa G Maldonado |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538987581 PECOS PAC ID: 1850828286 Enrollment ID: I20241226001369 |
| Provider Name | Emma Jo Steckler |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1811680101 PECOS PAC ID: 2668909094 Enrollment ID: I20241226001397 |
| Provider Name | Kelsey L Rasmusson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1245964741 PECOS PAC ID: 8527595818 Enrollment ID: I20241227001380 |
| Provider Name | Haydee M Krieg |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1457100125 PECOS PAC ID: 6305373523 Enrollment ID: I20241227003135 |
| Provider Name | Hayle Lynn Hauser |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033770201 PECOS PAC ID: 6901333160 Enrollment ID: I20241230001292 |
| Provider Name | Heather Marie Weisbeck |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841658903 PECOS PAC ID: 4688102486 Enrollment ID: I20250107003234 |
Missouri River Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 425 E Avenue C, Bismarck, ND 58501 Phone: 701-712-9962 | |
We Thrive Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 E Main Ave Ste F, Bismarck, ND 58501 Phone: 701-751-1006 Fax: 701-425-0597 | |
Telehealth Physician Network, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 S 2nd St Ste 155, Bismarck, ND 58504 Phone: 833-484-6359 | |
Beacon Counseling Services Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4205 State St Ste 5, Bismarck, ND 58503 Phone: 701-214-5530 Fax: 701-712-5587 | |
Whole Person Recovery Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1138 Summit Boulevard, Bismarck, ND 58504 Phone: 701-224-1261 | |
Therapeutic Trauma And Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 517 La Paz Ave, Bismarck, ND 58503 Phone: 701-595-2414 | |
Thrive Child & Family Therapy Center Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E Main Ave Ste 102, Bismarck, ND 58501 Phone: 701-989-0210 |