| Dr Lucas Reid Bopp, DPT | |
|
132 4th Ave Ne, Valley City, ND 58072-3056 | |
| (701) 845-8060 | |
| Not Available |
| Full Name | Dr Lucas Reid Bopp |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 14 Years |
| Location | 132 4th Ave Ne, Valley City, North Dakota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144641036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1700 (North Dakota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Innovis Health Llc | 9931298155 | 509 |
| Provider Name | Innovis Health Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1215125463 PECOS PAC ID: 9931298155 Enrollment ID: O20071211000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lucas Reid Bopp, DPT Po Box 6001, Fargo, ND 58108-6001 Ph: (701) 364-3300 | Dr Lucas Reid Bopp, DPT 132 4th Ave Ne, Valley City, ND 58072-3056 Ph: (701) 845-8060 |
Michael G Bresnahan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 570 Chautauqua Blvd, Valley City, ND 58072 Phone: 701-845-6400 | |
Sheyenne Valley Special Education Unit Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 232 3rd St Ne, Valley City, ND 58072 Phone: 701-845-3402 Fax: 701-845-3408 | |
Grant J Goven, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 570 Chautauqua Blvd, Valley City, ND 58072 Phone: 701-845-6400 | |
Chrissie L Washburn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 570 Chautauqua Blvd, Valley City, ND 58072 Phone: 701-845-6400 |