Professional Rehabilitation Center Inc
NPI 1215014105ActiveOrganization· Physical Therapist· Fargo, ND
Physical Therapist in Fargo, North Dakota, registered in NPPES in November 2006, part of Professional Rehabilitation Center, Inc. The authorized official on file is Tina D. Fonder, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1215014105 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Professional Rehabilitation Center, Inc |
| NPI issued | Nov 1, 2006 |
| Last updated in NPPES | Oct 29, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | ND |
| Occupational Therapist | 225X00000X | — | ND |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ND) |
|---|
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