HOMESTEAD PHYSICAL THERAPY PLLC
NPI 1184338741
Physical Therapist in Watford City, ND

Active since January 09, 2023
105 9TH AVE SE, SUITE 2, WATFORD CITY, ND 58854(701) 842-4424 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 1, 2023, Jan 9, 2023 (2 updates tracked since 2023).

About Homestead Physical Therapy Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOMESTEAD PHYSICAL THERAPY PLLC (NPI 1184338741) is a healthcare organization registered as a physical therapist in Watford City, North Dakota and active in the NPI registry since January 2023. The organization lists Kordae Hayden, Owner And Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1184338741
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameHOMESTEAD PHYSICAL THERAPY PLLC
Location Address105 9TH AVE SE, SUITE 2Watford City, ND 58854
Mailing Address1940 S Bonito Way Ste 190Meridian, ID 83642-5618 · (208) 287-9420
Organization SubpartNo
Authorized OfficialKordae HaydenOwner And Physical Therapist · (701) 580-1267
Enumeration DateJanuary 9, 2023
Last NPPES UpdateMarch 1, 20232 updates tracked since enumeration
NPPES CertifiedMarch 1, 2023
✔ NPI 1184338741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
105 9TH AVE SE, Watford City, ND 58854

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Homestead Physical Therapy Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Homestead Physical Therapy PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Physical Therapist in Private Practice
NPI 1356816128
105 9TH AVENUE SE, STE 2
Watford City, ND 58854
(701) 842-4424
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1235004268
105 9TH AVE SE # 2
Watford City, ND 58854
(701) 842-4424
✔ Accepts Medicare67 mi

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 Homestead Physical Therapy PLLC's NPI number?

The NPI number for Homestead Physical Therapy PLLC is 1184338741. It was assigned to this organization in the NPPES registry on January 9, 2023.

Where is Homestead Physical Therapy PLLC located?

Homestead Physical Therapy PLLC is located at 105 9th Ave SE Suite 2, Watford City, ND 58854. The listed phone number is (701) 842-4424.

What is Homestead Physical Therapy PLLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Homestead Physical Therapy PLLC enrolled in Medicare?

Yes. Homestead Physical Therapy PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Homestead Physical Therapy PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Homestead 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Homestead Physical Therapy PLLC accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Homestead 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 Homestead Physical Therapy PLLC was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.