Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Professional Rehabilitation Center Inc

Organization Physical Therapist · NPI 1215014105

Professional Rehabilitation Center Inc is a Physical Therapist in Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2006.

Licensed in
ND
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4450 31st Ave S Ste 104
Fargo, ND 58104-4557
Phone: (701) 451-9417
Fax: (701) 298-0066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (ND)
Occupational Therapist Taxonomy 225X00000X (ND)

Record details

NPI number1215014105
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProfessional Rehabilitation Center, Inc
Authorized official Tina Fonder — Office Manager · (701) 451-9417
Other names Pro Rehab Center, Inc; Pro Rehab Center, Inc
NPI enumeratedNovember 1, 2006
Last updated in NPPESOctober 29, 2019
Mailing address4450 31st Ave S Ste 104, Fargo, ND 58104-4557

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