Active NPI
Treena Radermacher, OT
- Occupational Therapist
- Gwinner, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 619
- Practice address
- 11 North Main St
Gwinner, ND 58040-0586 - Phone
- (701) 678-2244
- Fax
- (701) 678-2210
- NPI assigned
- Jun 30, 2006
- Last updated
- Feb 22, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 619 | ND | Primary |
Addresses
Primary practice location
11 North Main St
Gwinner, ND 58040-0586
Mailing address
11 North Main St
Gwinner, ND 58040-0586
Phone (701) 678-2244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51062 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11 N Main St
Gwinner, ND 58040-4001
Phone (701) 678-2244
110 Hillcrest Dr
Enderlin, ND 58027-1129
Phone (701) 437-3782
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobilityplus Rehabilitation, LTD | Occupational Therapist | Current | Accepting new patients |
| Mobilityplus Rehabilitation LTD | Occupational Therapist | Current | Accepting new patients |
| Mobilityplus Rehabilitation, LTD | Occupational Therapist | Current | Accepting new patients |
Locations
11 N Main St
Gwinner, ND 58040
Phone (701) 678-2244
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Gwinner, ND
- NPI 1881631299
Occupational Therapist
-
- Physical Therapist
- Lisbon, ND
- NPI 1760021745
Occupational Therapist
-
- Physical Therapist
- Enderlin, ND
- NPI 1982807723
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1093744377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 NORTH MAIN ST",
"city": "GWINNER",
"state": "ND",
"postal_code": "580400586",
"telephone_number": "701-678-2244",
"fax_number": "701-678-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 NORTH MAIN ST",
"city": "GWINNER",
"state": "ND",
"postal_code": "580400586",
"telephone_number": "701-678-2244",
"fax_number": "701-678-2210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADERMACHER",
"first_name": "TREENA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ND",
"license": "619",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "51062",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gwinner, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.