IndividualActive
Michele Fitzgibbons
NPI 1306203328 · Physical Therapy Assistant · Fergus Falls, MN
Provider details
- NPI number
- 1306203328
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- A166 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
1131 S Mabelle Ave
Fergus Falls, MN 56537-3723
Phone: (218) 998-1505
Fax: (218) 736-1041
Street-level locationGet directions
Mailing address
1131 S Mabelle Ave
Fergus Falls, MN 56537-3723
Registry dates
- Enumerated
- 2016-01-21
- Last updated
- 2016-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.