| Dakota Physical Therapy P C | |
|
606 1st St Nw, Mandan, ND 58554-3121 | |
| (701) 667-0745 | |
| (701) 667-0707 |
| Full Name | Dakota Physical Therapy P C |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 606 1st St Nw, Mandan, 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 |
|---|---|---|---|
| 1740211267 | NPI | - | NPPES |
| 5470001 | Other | ND | BLUE SHIELD OF ND |
| 5397930001 | Other | ND | DMERC CIGNA |
| 1460162 | Medicaid | ND | |
| 54130 | Medicaid | ND | |
| 650024893 | Other | ND | PALMETTO GBA |
| Provider Name | Chad M Bergan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083675987 PECOS PAC ID: 4284693136 Enrollment ID: I20041006000756 |
| Provider Name | Chris A Gietzen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205898319 PECOS PAC ID: 3173552098 Enrollment ID: I20050810000749 |
| Provider Name | April A Bergan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841446606 PECOS PAC ID: 7719053206 Enrollment ID: I20080908000105 |
| Provider Name | Monica L Lang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164709804 PECOS PAC ID: 7214103241 Enrollment ID: I20111222000037 |
| Provider Name | Lacey Schulte |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992231930 PECOS PAC ID: 0446529572 Enrollment ID: I20170706000579 |
| Provider Name | Emily N Mundahl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942975784 PECOS PAC ID: 2163810227 Enrollment ID: I20211022001853 |
| Provider Name | Hannah Meier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982179750 PECOS PAC ID: 4880072735 Enrollment ID: I20220604000126 |
| Mailing Address | Practice Location Address |
|---|---|
| Dakota Physical Therapy P C 606 1st St Nw, Mandan, ND 58554-3121 Ph: (701) 667-0745 | Dakota Physical Therapy P C 606 1st St Nw, Mandan, ND 58554-3121 Ph: (701) 667-0745 |