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

Red Door Pediatric Therapy, Inc

Organization Professional Counselor · NPI 1639257033

Red Door Pediatric Therapy, Inc is a Professional Counselor in Bismarck, North Dakota. Works from 5 locations. Licensed in North Dakota.

Licensed in
ND
In the registry since
2006
Specialties on file
4
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

2625 N 19th St
Bismarck, ND 58503-0574
Phone: (701) 222-3175
Fax: (701) 222-3186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 113 Central Ave S, Beulah, ND 58523-6759 — (701) 222-3175
  • 4711 45th St S Ste 103, Fargo, ND 58104-5510 — (701) 222-3175
  • 2810 19th Ave S, Grand Forks, ND 58201-5957 — (701) 222-3175
  • 2080 36th Ave Sw Ste 110, Minot, ND 58701-7597 — (701) 222-3175

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 862 (ND)
Professional Counselor Taxonomy 101YP2500X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X · Licence 908 (ND)

Record details

NPI number1639257033
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tia-Lee Whitted — Financial/Credentialing · (701) 214-5617
Other names Red Door Pediatric Therapy
NPI enumeratedNovember 2, 2006
Last updated in NPPESDecember 5, 2024
Certification dateDecember 5, 2024
Mailing address2625 N 19th St, Bismarck, ND 58503-0574

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