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Thyra Peterick

Specialist/Technologist - Athletic Trainer β€’ Alexandria, MN

Active NPI 1407730799 Individual Practitioner Female Practitioner
Practice location in NPPES

111 17th Ave E Ste 101
Alexandria, MN 563085274

Call 3207621144 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

111 17th Ave E Ste 101

Alexandria, MN 563085274

Telephone 3207621144
Organization at the Same NPPES Address or Phone
Douglas County Hospital Facility NPI 1427342138

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Alexandria and Minnesota

27 active clinicians are listed under Specialist/Technologist - Athletic Trainer with a practice address in Alexandria, MN (1,030 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Alexandria

0% of these 27 clinicians have the CMS telehealth indicator.

0% of these 27 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-29
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

License # reported to NPPES MN 3977

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

20 listed
Amanda Anderson , PA-C

Physician Assistant

NPI 1245331529

Physician Assistant (Certified)

Dr. James Andrews , DO

Physical Medicine & Rehabilitation

NPI 1659309029

Doctor of Osteopathic Medicine (D.O.)

Dr. Aaron Balgaard , MD

Orthopaedic Surgery

NPI 1124464623

Doctor of Medicine (M.D.)

Lance Beebout , PA-C

Physician Assistant

NPI 1255300091

Physician Assistant (Certified)

Amber Block

Nurse Anesthetist, Certified Registered

NPI 1003169608
Dr. Jefferson Brand , MD

Orthopaedic Surgery

NPI 1205802261

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location July 29, 2026

Registered at 111 17TH AVE E STE 101, ALEXANDRIA, MN 563085274 (Tel: 3207621144)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2026

Specialist/Technologist (license number reported to NPPES: MN 3977)

βœ…
NPI Profile Active August 04, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 04, 2025

Registered at 1301 CENTENNIAL BLVD, FARGO, ND 58102 (Tel: 2187793188)

πŸ“
Business Mailing Address (Initial Record) August 04, 2025

Registered at 1670 137TH AVE NE, HATTON, ND 582409014 (Tel: 2187793188)

πŸ‘€
Provider Name / Credentials (Initial Record) August 04, 2025

Recorded as THYRA PETERICK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2025

Specialist/Technologist

🟒
Initial NPI Registration & Enumeration August 01, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1407730799
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2025
Last Update: July 29, 2026
Sole Proprietor: No

Mailing Address

1670 137th Ave Ne

Hatton, ND 582409014

Phone: 2187793188

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.