| Little Lights Pediatric Therapy, Llc | |
|
1615 Capitol Way, Bismarck, ND 58501-2218 | |
| (701) 751-0410 | |
| Not Available |
| Full Name | Little Lights Pediatric Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 1615 Capitol Way, Bismarck, 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 |
|---|---|---|---|
| 1083121792 | NPI | - | NPPES |
| Provider Name | Kaylee Bruner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013576883 PECOS PAC ID: 1456786276 Enrollment ID: I20200123002451 |
| Provider Name | Jacob Retzer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821527003 PECOS PAC ID: 0547534208 Enrollment ID: I20210702001135 |
| Provider Name | Erin Graves |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1437723020 PECOS PAC ID: 1759770944 Enrollment ID: I20211109002271 |
| Provider Name | Scott Allen Wagner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538486162 PECOS PAC ID: 7719376896 Enrollment ID: I20211110002561 |
| Provider Name | Jessica Freuer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427574011 PECOS PAC ID: 9638557374 Enrollment ID: I20220608000944 |
| Provider Name | Brandi Mack |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346651361 PECOS PAC ID: 3072963206 Enrollment ID: I20231229000783 |
| Mailing Address | Practice Location Address |
|---|---|
| Little Lights Pediatric Therapy, Llc 1615 Capitol Way, Bismarck, ND 58501-2218 Ph: (701) 751-0410 | Little Lights Pediatric Therapy, Llc 1615 Capitol Way, Bismarck, ND 58501-2218 Ph: (701) 751-0410 |
Luke Aaron Schlichenmayer, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1051 E Interstate Ave, Bismarck, ND 58503 Phone: 701-222-8322 | |
Molly Helbling, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 300 N 7th St, Bismarck, ND 58501 Phone: 701-323-6153 | |
Jessica Kaiser, MS, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4530 Northern Sky Dr, Bismarck, ND 58503 Phone: 701-751-6336 Fax: 701-751-6337 | |
Kaylee Bruner, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1615 E Capitol Way, Bismarck, ND 58501 Phone: 701-751-0410 | |
Ms. Joelean Lowman, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 806 N Washington St, Bismarck, ND 58501 Phone: 701-355-3029 | |
Sydney Gayton, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 E Interstate Ave Ste 3, Bismarck, ND 58503 Phone: 701-751-1125 | |
Mariah Hathaway, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4501 Coleman St Ste 103, Bismarck, ND 58503 Phone: 701-751-6336 |