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

Southshore Physical Therapy PLLC

Organization Physical Therapist · NPI 1134874654

Southshore Physical Therapy PLLC is a Physical Therapist in Hazen, North Dakota. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

104 12th Ave NW Unit 5
Hazen, ND 58545-4106
Phone: (701) 891-2043
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1134874654
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Miller — Owner · (701) 891-2043
NPI enumeratedFebruary 14, 2022
Last updated in NPPESFebruary 14, 2022
Certification dateFebruary 14, 2022
Mailing address104 12th Ave Nw Unit 5, Hazen, ND 58545-4106

Other providers in Hazen