SOUTHSHORE PHYSICAL THERAPY PLLC
NPI 1134874654
Physical Therapist in Hazen, ND
About Southshore Physical Therapy Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHSHORE PHYSICAL THERAPY PLLC (NPI 1134874654) is a healthcare organization registered as a physical therapist in Hazen, North Dakota and active in the NPI registry since February 2022. The organization lists Nicholas Miller, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southshore Physical Therapy Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Southshore Physical Therapy PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Southshore Physical Therapy PLLC's NPI number?
The NPI number for Southshore Physical Therapy PLLC is 1134874654. It was assigned to this organization in the NPPES registry on February 14, 2022.
Where is Southshore Physical Therapy PLLC located?
Southshore Physical Therapy PLLC is located at 104 12th Ave NW Unit 5, Hazen, ND 58545. The listed phone number is (701) 891-2043.
What is Southshore Physical Therapy PLLC's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Southshore Physical Therapy PLLC enrolled in Medicare?
Yes. Southshore Physical Therapy PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southshore Physical Therapy PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Southshore Physical Therapy PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southshore Physical Therapy PLLC accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Southshore Physical Therapy PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Southshore Physical Therapy PLLC was last updated on February 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.