Provider Demographics
NPI:1225289341
Name:JONES PHYSICAL THERAPY
Entity Type:Organization
Organization Name:JONES PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:701-751-2020
Mailing Address - Street 1:1655 N GRANDVIEW LN
Mailing Address - Street 2:204
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-0877
Mailing Address - Country:US
Mailing Address - Phone:701-751-2020
Mailing Address - Fax:701-223-2207
Practice Address - Street 1:1415 BORDER LN
Practice Address - Street 2:
Practice Address - City:WASHBURN
Practice Address - State:ND
Practice Address - Zip Code:58577-4153
Practice Address - Country:US
Practice Address - Phone:701-462-3389
Practice Address - Fax:701-462-8691
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JONES PHYSICAL THERAPY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1405261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy