SOUTHEAST THERAPY SERVICES INC NPI 1619986601

NPI Information

  • NPI: 1619986601
  • Provider Name: SOUTHEAST THERAPY SERVICES INC
  • Classification: Clinic/Center - 261QP2000X
  • Specialization: Physical Therapy
  • Entity Type: Organization
  • Address: 21 WILEY AVENUE SOUTH
    LIDGERWOOD, ND
    ZIP 58053
  • Phone: (701) 538-4189

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NPI Details

SOUTHEAST THERAPY SERVICES INC is a physical therapy clinic center in Lidgerwood, ND. The provider is an entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance. SOUTHEAST THERAPY SERVICES INC NPI is 1619986601. The provider is registered as an organization entity type.

The provider's business location address is:

21 WILEY AVENUE SOUTH
LIDGERWOOD, ND
ZIP 58053-001
Phone: (701) 538-4189
Fax: (701) 538-4319

The provider's authorized official is Theresa Kelly .
The authorized official title is Administrator and has the following contact phone number (701) 742-3267.

The enumeration date for this NPI number is 8/7/2006 and was last updated on 6/9/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2000XClinic/CenterPhysical TherapyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CG3429OTHERNORTH DAKOTATRAVELERS MEDICARE
255416MEDICAIDNORTH DAKOTA
3CG3429MEDICARE PINNORTH DAKOTA
41346007OTHERNORTH DAKOTABCBS ND CLNIC #
5N71021MEDICARE OSCAR/CERTIFICATIONNORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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