# ORIGIN PHYSICAL THERAPY AND PERFORMANCE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659298016
- **Authorized official:** BRIANA ISAKSON (OWNER)
- **Authorized official phone:** (701) 330-2558

## Contact information

- **Practice address:** 772 MAG SEVEN CT SW, BEMIDJI, MN 56601-9804
- **Practice address phone:** (701) 330-2558
- **Mailing address:** 554 WHISPERWOOD CT SW, BEMIDJI, MN 56601-6136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/06/2026
- **Last updated:** 07/06/2026