PRAIRIE GRIT ADAPTIVE SPORTS
NPI 1417577693
Clinic/Center in Minot, ND

Q: What is Prairie Grit Adaptive Sports's NPI number?

The NPI number for Prairie Grit Adaptive Sports is 1417577693. It was assigned to this organization in the NPPES registry on April 17, 2020.

Q: What is Prairie Grit Adaptive Sports's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since April 17, 2020

3515 16TH ST SW, MINOT, ND 58701(208) 949-3315 Get Directions Write a Review

NPPES record last updated: April 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Prairie Grit Adaptive Sports NPPES

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

PRAIRIE GRIT ADAPTIVE SPORTS (NPI 1417577693) is a healthcare organization registered as a clinic/center in Minot, North Dakota and active in the NPI registry since April 2020. The organization lists Krystal Rene' Butgereit, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1417577693

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NamePRAIRIE GRIT ADAPTIVE SPORTS

Location Address3515 16TH ST SWMinot, ND 58701-7225

Mailing AddressPo Box 969Minot, ND 58702-0969 · (208) 949-3315

Phone(208) 949-3315

Organization SubpartNo

Authorized OfficialKrystal Rene' ButgereitExecutive Director · (208) 949-3315

Enumeration DateApril 17, 2020

NPPES CertifiedApril 17, 2020

✔ NPI 1417577693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedOccupational TherapistTaxonomy 225X00000X

3515 16TH ST SW, Minot, ND 58701

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. HAYLEY HUGG PT,DPT

Physical Therapist