MEADOWLARK HOME THERAPY LLC (NPI# 1477169068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477169068 |
| Entity Type | Organization |
| Organization Name | MEADOWLARK HOME THERAPY LLC |
| Practice Address |
3420 1st St N Fargo ND 58102-1107 |
| Practice Telephone | 7017209243 |
| Mailing Telephone | 7017209243 |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |
| Authorized Official Name | EMILY DODD (OWNER/MANAGING MEMBER) |
| Authorized Official Telephone | 7017209243 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| MEADOWLARK HOME THERAPY | Doing Business As Name - Organization |
| Street Address |
3420 1ST ST N |
| City | FARGO |
| State | ND |
| Zip Code | 58102-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285924 | Shelley Dene Townsend-hansen | Dentist | 1017 Broadway N, Fargo, ND 58102 | 2020-11-04 |
| 1275190779 | Anthony Joseph Duncan | Student in an Organized Health Care Education/Training Program | 1919 Elm Streent North, Fargo, ND 58102 | 2019-05-21 |
| 1003472317 | Sadie Marie Nelson | Nurse Practitioner | Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 | 2019-05-13 |
| 1124523576 | Christopher Peroutka | Specialist/Technologist | 1300 17th Ave N, Fargo, ND 58102 | 2018-03-28 |
| 1205331873 | Nathan Koens | Specialist/Technologist | 1300 17th Avenue North, Fargo, ND 58102 | 2018-03-27 |
| 1376063370 | Abby Nicole Fredrickson | Student in an Organized Health Care Education/Training Program | 1919 Elm Street North, Fargo, ND 58102 | 2017-06-21 |
| 1780118331 | Stephanie Melquist | Internal Medicine | Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 | 2017-04-19 |
| 1104215623 | Justin Lervik | Social Worker | 211 Elm St. N, 122, Fargo, ND 58102 | 2015-01-21 |
| 1770919441 | Courtney Ann Simanski | Speech-Language Pathologist | 415 4th St. N., Fargo, ND 58102 | 2013-09-25 |
| 1821431206 | Lanell Staroba | Pharmacist | 706 D 38th St, Fargo, ND 58102 | 2013-04-16 |
| Find all providers in zip 58102 | ||||
| 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 |
|---|---|---|---|---|
| 1134780349 | Embrace Therapy Services | Occupational Therapist | 3500 42nd St S, Fargo, ND 58104-6945 | 2019-06-27 |
| 1760953582 | Breanna Rose Taralson | Occupational Therapist | 5678 Bishops Blvd S, Fargo, ND 58104-7253 | 2018-12-06 |
| 1003393000 | Shauna R Nelson | Occupational Therapist | 1711 Gold Dr S Ste 120, Fargo, ND 58103-6416 | 2018-07-23 |
| 1548713316 | Suzanne Christine Vetter | Occupational Therapist | 4700 46th St S Apt 304, Fargo, ND 58104-9009 | 2016-07-28 |
| 1891198271 | Sharon Westphal | Occupational Therapist | 1834 15th St S, Fargo, ND 58103-4817 | 2014-09-30 |
| 1972849131 | Leslie Ann Pladson Frie | Occupational Therapist | 2800 Main Ave, Fargo, ND 58103-6811 | 2012-12-17 |
| 1457663171 | Kristine Morris | Occupational Therapist | 3001 11th Street South, Fargo, ND 58103 | 2010-07-10 |
| 1164753737 | Professional Rehabilitation Center Inc | Occupational Therapist | 1200 Harwood Dr S, Fargo, ND 58104-6298 | 2010-01-21 |
| 1033341557 | Renae Joy Troyer | Occupational Therapist | 1711 Gold Dr. S., Suite 120, Fargo, ND 58103-6416 | 2009-08-17 |
| 1659507226 | Kelly N Costello | Occupational Therapist | 4622 40th Ave S Ste B, Fargo, ND 58104-4394 | 2009-06-09 |
| Find all providers in FARGO | ||||
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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.