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Active NPI 1407730799 Individual Practitioner Female Practitioner

Thyra Peterick

Specialist/Technologist - Athletic Trainer • Alexandria, MN

Professional Overview & Biography Verified Profile Summary

Thyra Peterick is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Alexandria, MN. Practice services are available at 111 17TH AVE E STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

111 17th Ave E Ste 101

Alexandria, MN 563085274

Telephone 3207621144
Associated Practice Facility / Clinic
🏢 Douglas County Hospital Facility NPI 1427342138

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Alexandria, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
27 Specialists

Practicing in Alexandria, MN (1033 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-29
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Amber Block

Nurse Anesthetist, Certified Registered

NPI 1003169608
Duane Malo , LAT

Specialist/Technologist - Athletic Trainer

NPI 1013604792

Licensed Athletic Trainer

Dr. Aaron Balgaard , MD

Orthopaedic Surgery

NPI 1124464623

Doctor of Medicine (M.D.)

Ashlyn Peterson , PA

Physician Assistant

NPI 1154050292

Physician Assistant

Dr. James Nelson , MD

Orthopaedic Surgery

NPI 1164747861

Doctor of Medicine (M.D.)

Dr. Drew Paradis , PT, DPT

Physical Therapist - Orthopedic

NPI 1164972576

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 29, 2026

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

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

Specialist/Technologist (License #3977 in MN)

NPI Profile Active August 04, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location August 04, 2025

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

📍
Updated Business Mailing Address August 04, 2025

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

👤
Provider Name / Credentials Updated August 04, 2025

Recorded as THYRA PETERICK

🎓
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.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.