Red Door Pediatric Therapy, Inc
NPI 1639257033 · Speech-Language Pathologist · Bismarck, ND
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Red Door Pediatric Therapy, Inc is a Speech-Language Pathologist organization in Bismarck, ND (NPI 1639257033).
Provider details
- NPI number
- 1639257033
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Tia-Lee Whitted, Financial/Credentialing(701) 214-5617
Specialties & taxonomies
Speech, Language and Hearing Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
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
5 documented practice locations
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
- Red Door Pediatric Therapy
Additional practice locations (4)
- 113 Central Ave SBeulah, ND 58523-6759Phone: (701) 222-3175Fax: (701) 222-3186
- 4711 45th St S Ste 103Fargo, ND 58104-5510Phone: (701) 222-3175Fax: (701) 222-3186
- 2810 19th Ave SGrand Forks, ND 58201-5957Phone: (701) 222-3175Fax: (701) 222-3186
- 2080 36th Ave Sw Ste 110Minot, ND 58701-7597Phone: (701) 222-3175Fax: (701) 222-3186
Registry dates
- Enumerated
- 2006-11-02
- Last updated
- 2024-12-05
- Certified
- 2024-12-05
Frequently asked questions
- What is Red Door Pediatric Therapy, Inc's NPI number?
- Red Door Pediatric Therapy, Inc's National Provider Identifier (NPI) is 1639257033, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Red Door Pediatric Therapy, Inc?
- Red Door Pediatric Therapy, Inc is classified in the NPPES registry as Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Red Door Pediatric Therapy, Inc located?
- Red Door Pediatric Therapy, Inc's practice location on file with NPPES is 2625 N 19th St, Bismarck, ND 58503-0574.
- What is Red Door Pediatric Therapy, Inc's phone number?
- The practice phone number listed in the NPPES registry for Red Door Pediatric Therapy, Inc is (701) 222-3175.
- Does Red Door Pediatric Therapy, Inc accept Medicare?
- Red Door Pediatric Therapy, 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 Red Door Pediatric Therapy, Inc?
- The authorized official listed on Red Door Pediatric Therapy, Inc's NPPES record is Tia-Lee Whitted, Financial/Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Red Door Pediatric Therapy, Inc's NPI active?
- Yes — Red Door Pediatric Therapy, Inc's NPI (1639257033) is active in the NPPES registry as of the last update on 2024-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.