| Optimum Therapies Of North Dakota, Inc | |
|
1040 Canada Ave Ste 1, Bismarck, ND 58503-1813 | |
| (751) 751-3064 | |
| (701) 751-2265 |
| Full Name | Optimum Therapies Of North Dakota, Inc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 1040 Canada Ave Ste 1, Bismarck, 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 |
|---|---|---|---|
| 1679010953 | NPI | - | NPPES |
| 2031 | Other | ND | NORTH DAKOTA BOARD OF PHYSICAL THERAPY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2031 (North Dakota) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | 2031 (North Dakota) | Primary |
| Provider Name | Denise A Wetzel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962767772 PECOS PAC ID: 7517110752 Enrollment ID: I20130121000047 |
| Provider Name | Marley C Zachmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477964377 PECOS PAC ID: 9638399504 Enrollment ID: I20140929001274 |
| Provider Name | Collin Kudrna |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225397664 PECOS PAC ID: 4789849621 Enrollment ID: I20170518001564 |
| Provider Name | Nicholas M Schmit |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801400585 PECOS PAC ID: 7113337452 Enrollment ID: I20220601002507 |
| Provider Name | Benjamin C Holter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174053482 PECOS PAC ID: 2567734494 Enrollment ID: I20220606001157 |
| Provider Name | Lauren K Milovitch-sera |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033582259 PECOS PAC ID: 7517312085 Enrollment ID: I20231018003644 |
| Provider Name | Savannah Marie Crawford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780022541 PECOS PAC ID: 6901335926 Enrollment ID: I20250121001706 |
| Mailing Address | Practice Location Address |
|---|---|
| Optimum Therapies Of North Dakota, Inc 1040 Canada Ave Ste 1, Bismarck, ND 58503-1813 Ph: (715) 855-0430 | Optimum Therapies Of North Dakota, Inc 1040 Canada Ave Ste 1, Bismarck, ND 58503-1813 Ph: (751) 751-3064 |