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BRIAN ILLING DPT
NPI 1790441632
Physical Therapist - Orthopedic in Fargo, ND

Active since November 15, 2021
2400 32ND AVE S, FARGO, ND 58103(701) 234-2000 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brian Illing Dpt NPPES

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

BRIAN ILLING DPT (NPI 1790441632) is an individual orthopedic provider in Fargo, North Dakota, licensed in North Dakota (2500) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1790441632
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameBRIAN ILLINGCredential: DPT
Location Address2400 32ND AVE SFargo, ND 58103-5800
Mailing Address2400 32nd Ave SFargo, ND 58103-5800 · (701) 234-2000
Phone(701) 234-2000
Sole ProprietorNo
Enumeration DateNovember 15, 2021
NPPES CertifiedNovember 15, 2021
✔ NPI 1790441632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in ND · 2500
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
2400 32ND AVE S, Fargo, ND 58103
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Other Providers at the Same Location NPPES 20

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

JASON C MYRMOE MD
Family Medicine
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-8779
DANA L STEGMILLER PA-C
Physician Assistant
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-8830
DARSHAN SINGH KHANGURA M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-7980
KIMBERLY CRANDALL RN, BSN, CDE
Registered Nurse (Diabetes Educator)
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-2245
NAOMI SCHULDT DNP, APRN, FNP-C
Nurse Practitioner (Family)
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-2000
RANDALL A KENNINGER MD
Family Medicine
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-8830
JEFFREY ALLEN RONDEAU MD
Obstetrics & Gynecology
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-8880
JEAN PAUL ELIA MANSOUR APRN-CNP
Nurse Practitioner (Family)
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-2000

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 Brian Illing's NPI number?

The NPI number for Brian Illing is 1790441632. It was assigned to this individual provider in the NPPES registry on November 15, 2021.

Where is Brian Illing located?

Brian Illing practices at 2400 32nd Ave S, Fargo, ND 58103. The listed phone number is (701) 234-2000.

What is Brian Illing's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Brian Illing was last updated on November 15, 2021. 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.