Individual provider Active NPI

Shannon Pfau, OTR/L

  • Occupational Therapist
  • Fargo, ND
National Provider Identifier
1023553849
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1850 Issued in ND
Practice address
4141 31St Ave S Ste 104
Fargo, ND 58104-8778
Phone
(701) 353-1488
Fax
(213) 867-2798
NPI assigned
Jan 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 105244 MN
Occupational Therapist 225X00000X 1850 ND Primary

Addresses

Primary practice location

4141 31St Ave S Ste 104
Fargo, ND 58104-8778

Mailing address

5532 59TH St S
Fargo, ND 58104-5688
Phone (612) 987-6677

Other practice location 1

1720 University Dr S
Fargo, ND 58103-4940
Phone (701) 417-5500

Other names 1

  • Shannon Littlefield Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210521000331 ND Practitioner - Occupational Therapist in Private Practice 6204235377 Reassigns benefits to 1 organization
I20260506002242 MN Practitioner - Occupational Therapist in Private Practice 6204235377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holistic Bliss Therapy LLCGroup PAC ID 9830619923, 3 clinicians

Practice addresses (Care Compare)

4141 31St Ave S
Suite 104
Fargo, ND 58104-8778
Phone (701) 353-1488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105244MNMDOccupational Therapist
1850NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Bliss Therapy LLC Occupational Therapist CurrentSince Apr 1, 2026 Accepting new patients

Locations

4141 31st Ave S
Ste 104
Fargo, ND 58104
Phone (701) 353-1488

Interoperability endpoints

  • Direct secure messaging: shannon@prc.kareodirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1023553849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5532 59TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045688",
            "telephone_number": "612-987-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 31ST AVE S STE 104",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048778",
            "telephone_number": "701-353-1488",
            "fax_number": "213-867-2798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 University Dr S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581034940",
            "country_code": "US",
            "telephone_number": "701-417-5500",
            "fax_number": "701-540-0098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PFAU",
        "first_name": "SHANNON",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-03",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "105244",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "1850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "LITTLEFIELD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.