ROBERTA ERICKSON (NPI# 1700278306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700278306 |
Entity Type | Individual |
Full Name | ROBERTA ERICKSON |
Credential | OTR/L CHT |
Practice Address |
3835 Supreme Ct Nw Bemidji MN 56601-4446 |
Practice Telephone | 2184448280 |
Practice Fax Number | 2184448337 |
Mailing Telephone | 2184448280 |
Mailing Fax Number | 2184448337 |
Enumeration Date | 2015-02-19 |
Last Update Date | 2015-02-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
100529 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
3835 SUPREME CT NW |
City | BEMIDJI |
State | MN |
Zip Code | 56601-4446 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831325620 | Choice Therapy, P.a. | Physical Therapist | 3835 Supreme Ct Nw, Bemidji, MN 56601-4446 | 2009-06-07 |
1649720400 | Choice Therapy | Clinic/Center | 3835 Supreme Ct Nw, Bemidji, MN 56601-4446 | 2016-10-05 |
1417402637 | Andrew Kremer | Physical Therapist | 3835 Supreme Ct Nw, Bemidji, MN 56601-4446 | 2016-08-17 |
1114378742 | Kirsten Landmark | Speech-Language Pathologist | 3835 Supreme Ct Nw, Suite 2, Bemidji, MN 56601-4446 | 2016-06-24 |
1538537618 | Marlee Westrum | Occupational Therapist | 3835 Supreme Ct Nw, Suite 2, Bemidji, MN 56601-4446 | 2015-09-08 |
1467856799 | Brady Miller | Physical Therapist | 3835 Supreme Ct Nw, Suite 2, Bemidji, MN 56601-4446 | 2014-10-15 |
1013322650 | Prosthetic Laboratories of Rochester, Inc. | Durable Medical Equipment & Medical Supplies | 3835 Supreme Ct Nw, Suite 4, Bemidji, MN 56601-4446 | 2014-06-23 |
1831510668 | Kelly Dunsmore | Physical Therapist | 3835 Supreme Ct Nw, #2, Bemidji, MN 56601-4446 | 2013-12-20 |
1700215035 | Erin Millicent Wark May | Speech-Language Pathologist | 3835 Supreme Ct Nw, Suite 2, Bemidji, MN 56601-4446 | 2013-11-07 |
1316380850 | Chantel Justina Wickham | Physical Therapist | 3835 Supreme Ct Nw, #2, Bemidji, MN 56601-4446 | 2013-04-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
1366093841 | Vickie Lynn Matthews | Technician | 1018 Miles Ave Se, Bemidji, MN 56601 | 2019-09-25 |
1518443530 | Lindsey Marie Whiting | Registered Nurse | 1300 Anne St, Bemidji, MN 56601 | 2018-07-12 |
1801257662 | Meghan Zigrida Paquette | Registered Nurse | 6055 161st Street Nw, Cass Lake, MN 56601 | 2016-03-08 |
1144686106 | Northwest Indian Oic | Home Health | 1819 Bemidji Ave N Ste 1, Bemidji, MN 56601 | 2016-01-06 |
1831560424 | Laura Hansen, Msw, Licsw Counseling Services, Inc. | Social Worker | 403 4th Street Ne, Suite 110, Bemidji, MN 56601 | 2015-10-08 |
1679949028 | Grand St. Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 2312 Bemidji Ave North, Bemidji, MN 56601 | 2015-08-19 |
1255717617 | Mary S. Salter, Md Psc | Internal Medicine | 514 Beltrami Ave Nw Suite 102, Bemidji, MN 56601 | 2015-08-07 |
1225420615 | Cristin Evans | Counselor | 403 4th Street, Suite 300, Bemidji, MN 56601 | 2015-02-23 |
1619367919 | Angela Krom Fournier | Psychologist | 16150 Golden Eagle Court Nw, Eagle Vista Equine Center Inc., Bemidji, MN 56601 | 2015-01-26 |
Find all providers in zip 56601 |
Taxonomy Code | 225XH1200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
Specialization | Hand |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295263507 | Michael David Morris | Occupational Therapist | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2017-05-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205256484 | Eunjin Kim | Occupational Therapist | 3832 Hillsboro Ave N, New Hope, MN 55427-1613 | 2014-04-25 |
1326344912 | Gregory Lee Rife | Occupational Therapist | 10230 Baltimore St Ne, Blaine, MN 55449-4674 | 2011-01-31 |
1184817819 | Lynn Allison Hatfield | Occupational Therapist | 6515 Barrie Rd Ste 100, Edina, MN 55435-2305 | 2007-08-27 |
1720206618 | Patrice K. Schober-branigan | Occupational Therapist | 280 Smith Ave N Ste 100, Saint Paul, MN 55102-2424 | 2007-04-23 |
1457484917 | Corey Weston Mcgee | Occupational Therapist | 6363 France Ave. South, Suite 404, Edina, MN 55435 | 2007-03-13 |
1437225125 | Michelle Anne Reiner | Occupational Therapist | 2855 Campus Dr Ste 300, Plymouth, MN 55441 | 2006-11-27 |
1134217367 | Maureen C Scanlan | Occupational Therapist | 3294 Rolling Hills Dr, Eagan, MN 55121-2357 | 2006-10-11 |
1609964915 | Karolyn J Paulson | Occupational Therapist | 310 Smith Ave N Ste 360, Saint Paul, MN 55102-2383 | 2006-10-11 |
1649365628 | Aileen M Roberts | Occupational Therapist | 1425 Main St N, Pine City, MN 55063-6026 | 2006-10-04 |
1538254172 | Elizabeth Ann Mohror-hill | Occupational Therapist | 1500 Irving Street, Alexandria, MN 56308 | 2006-10-03 |
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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.