NPIMap

Organization Active NPI

Red River Pediatric Therapy

  • Occupational Therapist
  • Fargo, ND
National Provider Identifier
1184052219
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1008 Issued in ND
Legal business name
RED RIVER PEDIATRIC THERAPY
Practice address
6681 56TH Ave S
Fargo, ND 58104-5655
Phone
(701) 361-9622
Fax
(701) 540-0191
NPI assigned
Oct 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Anna L Meissner, MS, OTR/LNPI 1386853802
Title
Occupational Therapist
Phone
(701) 361-9622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 1008 ND Primary

Addresses

Primary practice location

6681 56TH Ave S
Fargo, ND 58104-5655

Mailing address

6681 56TH Ave S
Fargo, ND 58104-5655
Phone (701) 361-9622

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1184052219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6681 56TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045655",
            "telephone_number": "701-361-9622",
            "fax_number": "701-540-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6681 56TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045655",
            "telephone_number": "701-361-9622",
            "fax_number": "701-540-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED RIVER PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2025-09-11",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "MEISSNER",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "701-361-9622",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "1008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 11, 2025; 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.