Professional Rehabilitation Center Inc
NPI 1215014105 · Physical Therapist · Fargo, ND
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Professional Rehabilitation Center Inc is a Physical Therapist organization in Fargo, ND (NPI 1215014105).
Provider details
- NPI number
- 1215014105
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Parent organization
- Professional Rehabilitation Center, Inc
- Organization subpart
- Yes
- Authorized official
- Tina Fonder, Office Manager(701) 451-9417
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Doing business as
- Pro Rehab Center, Inc
- Doing business as
- Pro Rehab Center, Inc
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2019-10-29
Frequently asked questions
- What is Professional Rehabilitation Center Inc's NPI number?
- Professional Rehabilitation Center Inc's National Provider Identifier (NPI) is 1215014105, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Professional Rehabilitation Center Inc?
- Professional Rehabilitation Center Inc is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Professional Rehabilitation Center Inc located?
- Professional Rehabilitation Center Inc's practice location on file with NPPES is 4450 31st Ave S Ste 104, Fargo, ND 58104-4557.
- What is Professional Rehabilitation Center Inc's phone number?
- The practice phone number listed in the NPPES registry for Professional Rehabilitation Center Inc is (701) 451-9417.
- Does Professional Rehabilitation Center Inc accept Medicare?
- Professional Rehabilitation Center Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Professional Rehabilitation Center Inc?
- The authorized official listed on Professional Rehabilitation Center Inc's NPPES record is Tina Fonder, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Professional Rehabilitation Center Inc's NPI active?
- Yes — Professional Rehabilitation Center Inc's NPI (1215014105) is active in the NPPES registry as of the last update on 2019-10-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.