Provider Demographics
NPI:1467765420
Name:HOPE THERAPY CENTER, PLLC
Entity Type:Organization
Organization Name:HOPE THERAPY CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GERI
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLFF
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L
Authorized Official - Phone:701-595-1010
Mailing Address - Street 1:PO BOX 160
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58502
Mailing Address - Country:US
Mailing Address - Phone:701-595-1010
Mailing Address - Fax:701-751-3406
Practice Address - Street 1:705 E MAIN AVENUE
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501
Practice Address - Country:US
Practice Address - Phone:701-595-1010
Practice Address - Fax:701-751-3406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-20
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND27216100261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND1932430642OtherINDIVIDUAL NPI
ND1467765420OtherFACILITY NPI
ND55606Medicaid
NDN716051Medicare PIN