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Professional Rehabilitation Center Inc

Physical Therapist in Fargo, ND · enumerated 2006 · authorized official Tina Fonder, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215014105

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Registry record

Entity type Organization (Type 2)
Legal business name Professional Rehabilitation Center Inc
Other name <Unavail>
Parent organization Professional Rehabilitation Center, Inc
Practice address 4450 31st Ave S Ste 104, Fargo, ND, 58104
Phone (701) 451-9417
Fax (701) 298-0066
Enumeration date Nov 1, 2006
Last updated in NPPES Oct 29, 2019

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

Authorized official

Name Tina Fonder
Title Office Manager
Phone (701) 451-9417

Other identifiers

Identifier Type State Issuer
018T6PR Other MN BLUE PLUS OF MINNESOTA
53165 Medicaid ND -
552323100 Medicaid MN -
53170 Medicaid ND -
O18T6PR Other MN BLUE CROSS BLUE SHIELD MN
5517001 Other ND BLUE CROSS BLUE SHIELD ND

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Professional Rehabilitation Center Inc?
NPPES lists Tina Fonder (Office Manager) as the authorized official for this organization.
What is the NPI number for Professional Rehabilitation Center Inc?
The NPI for Professional Rehabilitation Center Inc is 1215014105, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-10-29.