| Blossom Therapy | |
|
4040 42nd St S Ste K, Fargo, ND 58104-4353 | |
| (701) 773-4903 | |
| (701) 922-9269 |
| Full Name | Blossom Therapy |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 4040 42nd St S Ste K, Fargo, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730043829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Katie A Hinnenkamp |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1164950846 PECOS PAC ID: 0042583726 Enrollment ID: I20170831000014 |
| Provider Name | Courtney P Crabill |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447742655 PECOS PAC ID: 9133476203 Enrollment ID: I20180719003558 |
| Provider Name | Rebecca Gaikowski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033675574 PECOS PAC ID: 4082943501 Enrollment ID: I20190909004058 |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Therapy 914 Sommerset Blvd, West Fargo, ND 58078-2188 Ph: (701) 361-8605 | Blossom Therapy 4040 42nd St S Ste K, Fargo, ND 58104-4353 Ph: (701) 773-4903 |
Leslie Anne Myer, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078 |
Mrs. Shauna R Nelson, OTR/L, CLT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1711 Gold Dr S Ste 120, Fargo, ND 58103 Phone: 701-451-9417 |
Jeremiah Otteson, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2301 25th St S, Fargo, ND 58103 Phone: 701-417-6222 |
Kayla Brottlund, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 University Dr S, Fargo, ND 58103 Phone: 701-239-3000 |
Karlene Renae Nelson, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 3060 Frontier Way S, Fargo, ND 58104 Phone: 701-232-2340 |
Mrs. Shannon Pfau, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 4141 31st Ave S Ste 104, Fargo, ND 58104 Phone: 701-353-1488 Fax: 213-867-2798 |
Mattea Johnson, OTR/L Occupational Therapist Medicare: May Accept Medicare Assignments Practice Location: 3120 25th St S Ste N, Fargo, ND 58103 Phone: 701-205-4194 |