| Big Stone Therapies Fargo, Inc | |
|
2829 University Dr S, Ste 202, Fargo, ND 58103-6050 | |
| (701) 478-0307 | |
| (701) 478-0309 |
| Full Name | Big Stone Therapies Fargo, Inc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 2829 University Dr S, Fargo, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194021873 | NPI | - | NPPES |
| Provider Name | Mike C Kroke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750318952 PECOS PAC ID: 4486649282 Enrollment ID: I20040420000519 |
| Provider Name | Elaine K Doerfler |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1124388731 PECOS PAC ID: 5698923910 Enrollment ID: I20120912000035 |
| Provider Name | Jodi L Crockett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992800551 PECOS PAC ID: 8729014048 Enrollment ID: I20130214000296 |
| Provider Name | Sarah E Perkerewicz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437343548 PECOS PAC ID: 0143391342 Enrollment ID: I20160628003149 |
| Provider Name | Casey James Hansen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871813386 PECOS PAC ID: 3476834425 Enrollment ID: I20170105000862 |
| Provider Name | Anthony Michael Mcconnon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578043063 PECOS PAC ID: 0143574285 Enrollment ID: I20181108001935 |
| Provider Name | Adrienne Erdmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013304435 PECOS PAC ID: 4183919608 Enrollment ID: I20181219003150 |
| Provider Name | Bailey Ann Odegaard |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578195210 PECOS PAC ID: 8426485368 Enrollment ID: I20200305001106 |
| Provider Name | Colby Schaley |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1558763102 PECOS PAC ID: 5294171716 Enrollment ID: I20240306004309 |
| Provider Name | Nicholas Hendrickx |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912747049 PECOS PAC ID: 2961945696 Enrollment ID: I20240621002248 |
| Provider Name | Nicholas Doeling |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043448459 PECOS PAC ID: 1456406529 Enrollment ID: I20250224000972 |
| Mailing Address | Practice Location Address |
|---|---|
| Big Stone Therapies Fargo, Inc 500 Cross St, Big Stone City, SD 57216-8237 Ph: (605) 541-1140 | Big Stone Therapies Fargo, Inc 2829 University Dr S, Ste 202, Fargo, ND 58103-6050 Ph: (701) 478-0307 |