MR. MARK L PETERSON (NPI# 1578629341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578629341 |
| Entity Type | Individual |
| Full Name | MR. MARK L PETERSON |
| Credential | OTR |
| Practice Address |
40520 Co Hwy 34 Ogema MN 56569 |
| Practice Telephone | 2189836385 |
| Practice Fax Number | 2189833773 |
| Mailing Telephone | 2189836385 |
| Mailing Fax Number | 2189833773 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 103166 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164069696 | Mark Alan Peterson | In Home Supportive Care | 5870 Nw 54th Ct, Johnston, IA 50131-1418 | 2019-12-03 |
| 1841474012 | Mark Frederic Peterson I | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3351 36th St, Grand Rapids, MI 49331 | 2007-12-24 |
| 1780877258 | Mark A. Peterson | Counselor | 7322 Scenic Oaks Cir, Austin, TX 78745-5217 | 2007-08-19 |
| 1871702076 | Mark Clayton Peterson | Dentist | 1600 W Sunset Rd Ste B, Henderson, NV 89014-2655 | 2007-05-22 |
| 1558481366 | Mark Theodore Peterson | Specialist | 5712 Newburg Rd, Rockford, IL 61108-6707 | 2007-03-29 |
| 1073608170 | Mark A Peterson | Dentist | 7740 Bay St, Suite # 1, Sebastian, FL 32958-3427 | 2006-10-04 |
| 1689782864 | Mark L Peterson | Dentist | 127 1/2 E Short St, Rigby, ID 83442-1422 | 2006-08-28 |
| 1528013661 | Mark Edward Peterson | Dentist | 2440 Gaynor Nw, Grand Rapids, MI 49544-1830 | 2006-05-24 |
| 1699763607 | Mark Delano Peterson | Orthopaedic Surgery | 1311 E Barnett Rd, Ste 201, Medford, OR 97504-8225 | 2005-10-12 |
| 1477551836 | Mark Dean Peterson | Chiropractor | 5406 Alderson St, Schofield, WI 54476-2264 | 2005-07-11 |
| Street Address |
40520 CO HWY 34 |
| City | OGEMA |
| State | MN |
| Zip Code | 56569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609833607 | Joanne Mittet | Registered Nurse | 40520 Co Hwy 34, White Earth Health Center, Ogema, MN 56569 | 2006-04-26 |
| 1780769562 | Steven W Jensen | Physical Therapist | 40520 Co Hwy 34, Ogema, MN 56569 | 2006-10-27 |
| 1073532230 | Darryl Robert Zitzow | Psychologist | 40520 Co Hwy 34, White Earth Health Center, Ogema, MN 56569 | 2006-07-19 |
| 1033149588 | Janet K Enger | Audiologist | 40520 Co Hwy 34, White Earth Health Center, Ogema, MN 56569 | 2006-07-03 |
| 1497791115 | Bonita Faye Conner | Nurse Practitioner | 40520 Co Hwy 34, White Earth Health Center, Ogema, MN 56569 | 2006-06-21 |
| 1811943533 | Kathy Tysdal | Registered Nurse | 40520 Co Hwy 34, White Earth Health Center, Ogema, MN 56569 | 2006-05-25 |
| 1023060852 | Maxine Lamae Olson | Registered Nurse | 40520 Co Hwy 34, White Earth Health Center, Ogema, MN 56569 | 2006-05-17 |
| 1154373306 | Maureen Rose Van Den Einde | Registered Nurse | 40520 Co Hwy 34, White Earth Health Center, Ogema, MN 56569 | 2006-05-16 |
| 1952352841 | Pamela Spaeth | Spec/Tech, Pathology | 40520 Co Hwy 34, White Earth Health Center, Ogema, MN 56569 | 2006-05-15 |
| 1396796280 | Joanne Pelham | Technician, Pathology | 40520 Co Hwy 34, White Earth Health Center, Ogema, MN 56569 | 2006-05-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871144030 | Leah Celeste Bakken | Registered Nurse | 407 East Main St, Ogema, MN 56569 | 2019-09-27 |
| 1427399237 | Kathleen Elizabeth Morris Laswell | Nurse Practitioner | 40502 Cty Hwy 34, Ogema, MN 56569 | 2013-03-05 |
| 1457639551 | White Earth Band of Ojibwe - Indian Child Welfare | Social Worker | 301 Feather Street, Ogema, MN 56569 | 2011-07-25 |
| 1053432203 | Jack Thomas Mohr | Pharmacist | Phs Indian Health Service, 40520 Co. Hwy 34, Ogema, MN 56569 | 2007-04-03 |
| 1154372050 | Patricia Ann Sniezek | Nurse Practitioner | 40520 County Hwy 34, White Earth Health Center, Ogema, MN 56569 | 2006-05-15 |
| 1568952752 | Jordyn Kathleen Steffes | Radiologic Technologist | 40520 Cty. Hwy. 34, Ogema, MN 56569 | 2018-05-14 |
| 1942790118 | Mary Beth Simon | Radiologic Technologist | 40520 Cty Hwy 34, Ogema, MN 56569 | 2018-05-14 |
| 1780174979 | Jacqueline Lois Zortman | Radiologic Technologist | 40520 Cty. Hwy. 34, Ogema, MN 56569 | 2018-05-14 |
| 1720597933 | Stephanie Lynn Tilton | Physical Therapist | 40520 County Highway 34, Ogema, MN 56569 | 2017-09-20 |
| 1053677062 | Sandra J. Holmgren | Nurse Practitioner | 40520 County Highway 34, Ogema, MN 56569 | 2012-04-03 |
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| 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 |
|---|---|---|---|---|
| 1245601822 | Kelsey Buelow | Occupational Therapist | 40520 County Highway 34, Ogema, MN 56569-9612 | 2015-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193326 | Shannon M Winn | Occupational Therapist | 529 Stine Dr, Carlton, MN 55718-9721 | 2020-10-26 |
| 1912504960 | Marissa Erin Rahlf | Occupational Therapist | 25834 710th St, Hayfield, MN 55940-8745 | 2020-10-02 |
| 1427662105 | Superior Therapy Solution LLC | Occupational Therapist | 1730 New St, Duluth, MN 55806-2114 | 2020-09-01 |
| 1083228753 | Rachel Anne Kramer | Occupational Therapist | 42808 County Road 11, Bird Island, MN 55310-3006 | 2020-09-01 |
| 1073123873 | Robert G Otos | Occupational Therapist | 8700 Virginia Cir N, Saint Louis Park, MN 55426-2455 | 2020-08-06 |
| 1164031787 | Melissa Cayetano Sanchez | Occupational Therapist | 6990 Wyndham Way, Woodbury, MN 55125-2761 | 2020-07-29 |
| 1275151896 | Integrative Therapies & Wellness | Occupational Therapist | 115 Willow St W Ste 4, Detroit Lakes, MN 56501-3922 | 2020-07-09 |
| 1760009153 | Traci Lynn Kruse | Occupational Therapist | 11437 Kenyon Ct Ne, Blaine, MN 55449-5483 | 2020-07-01 |
| 1376164244 | Madeline Rose Springer | Occupational Therapist | 19230 Larkspur Ave N, Marine On Saint Croix, MN 55047-9696 | 2020-05-02 |
| 1578182218 | Natalie Ryane Garfield | Occupational Therapist | 3025 Ottawa Ave S Apt 130, St Louis Park, MN 55416-2279 | 2020-04-13 |
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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.