OrganizationActive
The Resilient Athlete Center
NPI 1124514229 · Physical Therapy Clinic/Center · West Fargo, ND
Provider details
- NPI number
- 1124514229
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Joshua Jordan, Co-Owner(720) 299-5398
- License
- 45290600 (ND)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3155 Bluestem Dr # 288
West Fargo, ND 58078-8002
Phone: (701) 353-5476
Street-level locationGet directions
Mailing address
3155 Bluestem Dr # 288
West Fargo, ND 58078-8002
Registry dates
- Enumerated
- 2018-07-02
- Last updated
- 2018-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.