ROBERTA L CARRLSON (NPI# 1104139484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104139484 |
| Entity Type | Individual |
| Full Name | ROBERTA L CARRLSON |
| Credential | OTRL |
| Practice Address |
2016 S Washington St Grand Forks ND 58201-6342 |
| Practice Telephone | 7017758934 |
| Practice Fax Number | 7017574208 |
| Mailing Telephone | 7017758934 |
| Mailing Fax Number | 7017574208 |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2014-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 1241 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2016 S WASHINGTON ST |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-6342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831389279 | Lindsay Dawn Schulz | Speech-Language Pathologist | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2007-08-01 |
| 1508481227 | Taylor White I | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2020-06-09 |
| 1114546843 | Brooke Hansey | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2020-04-13 |
| 1215567896 | Kristen Gee | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2020-01-22 |
| 1467082040 | Alayna Castro | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2020-01-22 |
| 1366072944 | Kacie Grace Baumler | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2020-01-22 |
| 1750922555 | Alicia Bullinger | Physical Therapist | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2019-10-02 |
| 1194382143 | Amy Park | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2019-05-24 |
| 1174180129 | Mariah Liann Duchesne | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2019-05-24 |
| 1750843660 | Lindsay Birke | Behavior Technician | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2019-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| 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 |
|---|---|---|---|---|
| 1902446271 | Suedel Therapeutics Pllc | Occupational Therapist | 1311 S Washington St, Grand Forks, ND 58201-5406 | 2020-01-14 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1376989855 | Quotable Kids Pediatric Therapy Clinic, Pllc | Occupational Therapist | 2600 Demers Avenue, Suite 101, Grand Forks, ND 58201 | 2013-05-10 |
| 1134448772 | Julie Grabanski | Occupational Therapist | 811 N 3rd St, Grand Forks, ND 58203-2405 | 2010-05-21 |
| 1093862393 | Grand Forks Public Schools District 1 | Occupational Therapist | 2400 47th Ave S, Grand Forks, ND 58201-3405 | 2007-01-05 |
| 1710069059 | Chris Frank | Occupational Therapist | 817 Reeves Dr, Grand Forks, ND 58201-4963 | 2006-10-19 |
| 1518905512 | Axis Clinic PC | Occupational Therapist | 1451 44th Ave S Ste 120d, Grand Forks, ND 58201-3434 | 2006-06-02 |
| 1811503733 | Parker Jem Hoey | Occupational Therapist | 2512 S Washington St Ste C, Grand Forks, ND 58201-6772 | 2020-09-16 |
| 1245855147 | Mackenzie Sandra Danielson | Occupational Therapist | 2600 Demers Ave Ste 101, Grand Forks, ND 58201-4100 | 2020-06-16 |
| Find all providers in GRAND FORKS | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
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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.