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: October 25, 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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prairie Grit Adaptive Sports is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Prairie Grit Adaptive Sports, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Kara Perry

Physical Therapist in Private Practice

NPI 1689184582

3515 16TH ST SW
Minot, ND 58701

(701) 838-1080

✔ Accepts MedicareSame address

Kristen Johnston

Physical Therapist in Private Practice

NPI 1356763627

101 3RD AVE SW
Minot, ND 58701

(701) 857-5286

✔ Accepts Medicare2.6 mi

Kaari Pieper, PT

Physical Therapist in Private Practice

NPI 1184104986

101 3RD AVE SW
Minot, ND 58701

(701) 857-5286

✔ Accepts Medicare2.6 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 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.

Where is Prairie Grit Adaptive Sports located?

Prairie Grit Adaptive Sports is located at 3515 16th St SW, Minot, ND 58701. The listed phone number is (208) 949-3315.

What is Prairie Grit Adaptive Sports's specialty?

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

Is Prairie Grit Adaptive Sports enrolled in Medicare?

Yes. Prairie Grit Adaptive Sports is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prairie Grit Adaptive Sports?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Prairie Grit Adaptive Sports. 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 and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Prairie Grit Adaptive Sports accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Prairie Grit Adaptive Sports 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 Prairie Grit Adaptive Sports was last updated on April 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.