Great Kids Therapy, Ltd.

LBN: Great Kids Therapy, Ltd.
Great Kids Therapy, Ltd. is an health care organization with primary practice located at 3120 25Th St S Ste N , Fargo ND 58103-6110. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is the primary health care specialty. Great Kids Therapy, Ltd. can be contacted via phone (701) 205-4194, or through Hoffman, Kelsey via phone (701) 205-4194.

Contact Information

Primary practice address
3120 25Th St S Ste N Fargo ND 58103-6110
Phone: (701) 205-4194
Fax: (701) 504-9044
Website:
Map and Directions
Authorized official contact:
Name: Hoffman, Kelsey Registered Occupational Therapist (OTR)
Phone: (701) 205-4194

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 103207 North Dakota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 345 North Dakota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 103207 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 345 North Dakota
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1497805196
LBN Legal business name Great Kids Therapy, Ltd.
DBA Doing business as
Authorized official Hoffman, Kelsey Registered Occupational Therapist (OTR)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2007
Last updated Feb 7th, 2024 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497805196 NPPES
Minnesota Other 7G316ME BCBSMN IDENTIFICATION NO.
Minnesota Other 64-03941 BCBSMN IDENTIFICATION NO.
Minnesota MEDICAID 54375 BCBSMN IDENTIFICATION NO.
Minnesota Other 322441043865 BCBSMN IDENTIFICATION NO.
Minnesota Other 0007422496 BCBSMN IDENTIFICATION NO.
Minnesota Other 13667 BCBSMN IDENTIFICATION NO.
Minnesota Other 64-03941 BCBSMN IDENTIFICATION NO.

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