MARY BETH FUGLEBERG (NPI# 1083748750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083748750 |
| Entity Type | Individual |
| Full Name | MARY BETH FUGLEBERG |
| Practice Address |
701 3rd St Nw Jamestown ND 58401-2963 |
| Practice Telephone | 7012523850 |
| Practice Fax Number | 7019525154 |
| Mailing Telephone | 7012523850 |
| Mailing Fax Number | 7019525154 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 477 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 59898 | 05 | |
| ND | BCBS OF NORTH DAKOTA | 23197 | 01 |
| Street Address |
701 3RD ST NW |
| City | JAMESTOWN |
| State | ND |
| Zip Code | 58401-2963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518980846 | Barbara K Stanton | Counselor | 701 3rd St Nw, Jamestown, ND 58401-8000 | 2006-07-26 |
| 1275146698 | Erica Sierra | Behavior Technician | 701 3rd St Nw, Jamestown, ND 58401-2963 | 2020-08-25 |
| 1194338657 | Rachel Nicole Larson | Physical Therapist | 701 3rd St Nw, Jamestown, ND 58401-2963 | 2020-08-25 |
| 1477166163 | Jenny Catherine Korynta | Behavior Technician | 701 3rd St Nw, Jamestown, ND 58401-2963 | 2020-08-24 |
| 1932717865 | Justin Folsom | Behavior Technician | 701 3rd St Nw, Jamestown, ND 58401-2963 | 2020-07-16 |
| 1851912927 | Teresa Annette Martini | Behavior Technician | 701 3rd St Nw, Jamestown, ND 58401-2963 | 2020-04-30 |
| 1881215077 | Macy Dimler | Behavior Technician | 701 3rd St Nw, Jamestown, ND 58401-2963 | 2020-04-29 |
| 1376178608 | Kiah Vanasse | Occupational Therapist | 701 3rd St Nw, Jamestown, ND 58401-2963 | 2020-03-06 |
| 1609400860 | Dane Nels Jessen | Behavior Technician | 701 3rd St Nw, Jamestown, ND 58401-2963 | 2020-02-26 |
| 1801429881 | Cassie Lynn Pierson | Behavior Technician | 701 3rd St Nw, Jamestown, ND 58401-2963 | 2020-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343737 | Face and Jaw Surgeons PC | Dentist | 1517 12 Ave Ne, Jamestown, ND 58401 | 2020-10-16 |
| 1194216481 | Richard Yonick | Case Manager/Care Coordinator | South Central Human Service Center, 520 3rd St Nw, Jamestown, ND 58401 | 2018-05-23 |
| 1831607910 | Creative Journey, LLC | Clinic/Center | 429 2nd St Sw Ste 205, Jamestown, ND 58401 | 2018-01-11 |
| 1619399334 | Stutsman County Social Services | Case Manager/Care Coordinator | 116 1st Street East, Jamestown, ND 58401 | 2014-01-15 |
| 1073945176 | Sarah Walker | Pharmacist | 410 10th Street Se, Suite 8, Jamestown, ND 58401 | 2013-07-31 |
| 1811339369 | Yvette D Patrick | Occupational Therapist | 207 2nd Avenue Se, Jamestown, ND 58401 | 2013-07-25 |
| 1144582933 | Anne Carlsen Center | Intermediate Care Facility, Mentally Retarded | 701 3rd Steeet Nw, Jamestown, ND 58401 | 2012-06-08 |
| 1407008360 | Jacob Dale Reinarts | Counselor | 2504 Circle Dr # 58401, Jamestown, ND 58401 | 2008-10-22 |
| 1548426430 | Shipley Basic Care | Alzheimer Center (Dementia Center) | 1505 3 St Se, Jamestown, ND 58401 | 2008-07-31 |
| 1831384445 | Drake Counseling Services | Clinic/Center | 1210 13th Ave Sw, Jamestown, ND 58401 | 2007-09-07 |
| Find all providers in zip 58401 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578087144 | Morgan E Monahan | Occupational Therapist | 15 S Main St Ste 220, Jamestown, NY 14701-6626 | 2017-07-26 |
| 1184013377 | Shaulee Iverson | Occupational Therapist | 419 5th St Ne Ste 142, Jamestown, ND 58401-3318 | 2015-01-12 |
| 1417388802 | Ashli Westfelt | Occupational Therapist | 1011 Old Lee Hwy 127 S, Jamestown, TN 38556 | 2013-12-10 |
| 1811339369 | Yvette D Patrick | Occupational Therapist | 207 2nd Avenue Se, Jamestown, ND 58401 | 2013-07-25 |
| 1982924700 | Tracy Grey | Occupational Therapist | 41 Hebner St, Jamestown, NY 14701-8441 | 2010-06-03 |
| 1295985471 | Paris S Ford | Occupational Therapist | 200 Haynes Rd, Jamestown, NC 27282 | 2008-09-24 |
| 1093961054 | Elizabeth I Fessel | Occupational Therapist | 3143 Strunk Rd, Jamestown, NY 14701-9027 | 2008-08-11 |
| 1710153580 | Hannah Zimmerman | Occupational Therapist | 421 18th St Ne, Jamestown, ND 58401-2468 | 2008-05-01 |
| 1366616021 | Katie Danielle Jacobson | Occupational Therapist | 17199 Happy Hollow Rd, Jamestown, MO 65046-2458 | 2008-04-14 |
| 1396932141 | Amy Elizabeth Cooke | Occupational Therapist | 200 Lennox Dr Unit 2b, Jamestown, NC 27282-9840 | 2007-09-25 |
| Find all providers in JAMESTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.