| On Spot Therapy And Orofacial Myology, Llc | |
|
4500 36th Ave S Ste 200 Fargo ND 58104-5275 | |
| (701) 532-1507 | |
| (701) 532-1529 |
| Full Name | On Spot Therapy And Orofacial Myology, Llc |
|---|---|
| Speciality | Speech-Language Pathologist |
| Location | 4500 36th Ave S Ste 200, Fargo, North Dakota |
| Authorized Official Name and Position | Tessa Marie Rasmussen (OWNER) |
| Authorized Official Contact | 7015321507 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| On Spot Therapy And Orofacial Myology, Llc 4103 40th Ave S Moorhead MN 56560-7503 Ph: (701) 212-5926 | On Spot Therapy And Orofacial Myology, Llc 4500 36th Ave S Ste 200 Fargo ND 58104-5275 Ph: (701) 532-1507 |
| NPI Number | 1588217301 |
|---|---|
| Provider Enumeration Date | 07/21/2019 |
| Last Update Date | 05/06/2024 |
| Medicare PECOS PAC ID | 9436587334 |
|---|---|
| Medicare Enrollment ID | O20200306000860 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588217301 | NPI | - | NPPES |
| 77101 | Medicaid | ND |
| Provider Name | Kayla M Flach |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1013398445 PECOS PAC ID: 5991011082 Enrollment ID: I20150903002788 |
| Provider Name | Lindsay Rude |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1700313541 PECOS PAC ID: 7618246562 Enrollment ID: I20170707002473 |
| Provider Name | Katie Rummel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366865107 PECOS PAC ID: 9133479603 Enrollment ID: I20180904001321 |
| Provider Name | Tessa Marie Rasmussen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609368844 PECOS PAC ID: 7416299227 Enrollment ID: I20190426001712 |
| Provider Name | Darriean Langlie |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1689167678 PECOS PAC ID: 8022342153 Enrollment ID: I20190624003209 |
| Provider Name | Bailey Jean Fletcher |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1235758806 PECOS PAC ID: 0042635997 Enrollment ID: I20200810000981 |
| Provider Name | Courtnie Jean Roesler |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1679157408 PECOS PAC ID: 1052709748 Enrollment ID: I20211029001117 |
| Provider Name | Bailey Justine Weston Werk |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760112577 PECOS PAC ID: 7012397268 Enrollment ID: I20220705003116 |
| Provider Name | Kathryn Elizabeth College |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407537459 PECOS PAC ID: 0446604235 Enrollment ID: I20230927003477 |
| Provider Name | Sydney Kurtzweg |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1376318246 PECOS PAC ID: 3476090697 Enrollment ID: I20240806003161 |
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