Carrie Dee Beert-Bottema, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

200725 Issued in MN

Practice address

318 2ND St NE
Hayfield, MN 55940-8857

Phone

(507) 477-3266

Fax

(507) 477-3225

NPI assigned

Feb 3, 2021

Last updated

Feb 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1134710916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 2ND ST NE",
            "city": "HAYFIELD",
            "state": "MN",
            "postal_code": "559408857",
            "telephone_number": "507-477-3266",
            "fax_number": "507-477-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 2ND ST NE",
            "city": "HAYFIELD",
            "state": "MN",
            "postal_code": "559408857",
            "telephone_number": "507-477-3266",
            "fax_number": "507-477-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEERT-BOTTEMA",
        "first_name": "CARRIE",
        "middle_name": "DEE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MN",
            "license": "200725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hayfield",
            "affiliation": "N",
            "endpointDescription": "hayfield",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "318 2nd St NE",
            "city": "Hayfield",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559408857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Darr Ehmke
• Beverly Ann Frydenlund, BS PHYSICAL THERAPY
• Hayfield Community Ambulance
• Ind School Dist 203
• Ind School Dist. 203 (Hayfield Community School)

• Occupational Therapy Assistant in Hayfield, MN
• Providers in Hayfield, MN by specialty
• Occupational Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.