OrganizationActive
Blue Water Therapy, LLC
NPI 1245475797 · Rehabilitation Clinic/Center · Fargo, ND
Blue Water Therapy, LLC is a Rehabilitation Clinic/Center organization in Fargo, ND (NPI 1245475797).
Provider details
- NPI number
- 1245475797
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gabriel Evenson, President(701) 200-8181
- License
- 995 (ND)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
3321 4th Ave S Ste D
Fargo, ND 58103-2235
Phone: (701) 200-8181
Street-level locationGet directions
Mailing address
4425 47th St S
Fargo, ND 58104-4201
Registry dates
- Enumerated
- 2008-12-12
- Last updated
- 2008-12-12
Frequently asked questions
- What is Blue Water Therapy, LLC's NPI number?
- Blue Water Therapy, LLC's National Provider Identifier (NPI) is 1245475797, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Water Therapy, LLC?
- Blue Water Therapy, LLC is classified in the NPPES registry as Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Blue Water Therapy, LLC located?
- Blue Water Therapy, LLC's practice location on file with NPPES is 3321 4th Ave S Ste D, Fargo, ND 58103-2235.
- What is Blue Water Therapy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Blue Water Therapy, LLC is (701) 200-8181.
- Who is the authorized official for Blue Water Therapy, LLC?
- The authorized official listed on Blue Water Therapy, LLC's NPPES record is Gabriel Evenson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Water Therapy, LLC's NPI active?
- Yes — Blue Water Therapy, LLC's NPI (1245475797) is active in the NPPES registry as of the last update on 2008-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.