Active NPI
Samantha Dornfeld
- Occupational Therapist
- Annandale, MN
National Provider Identifier
1245867852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 500 Park St E
Annandale, MN 55302-3060 - Phone
- (320) 274-3737
- NPI assigned
- Mar 24, 2020
- Last updated
- May 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | NU | Primary |
Addresses
Primary practice location
500 Park St E
Annandale, MN 55302-3060
Mailing address
12 1St Ave S
Buffalo, MN 55313-1409
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12 1St Ave S
Buffalo, MN 55313-1409
Phone (763) 682-7774
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strive Therapy Services Inc. | Single Specialty | Current | Accepting new patients |
Locations
12 1st Ave S
Buffalo, MN 55313
Phone (763) 682-7774
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1245867852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 1ST AVE S",
"city": "BUFFALO",
"state": "MN",
"postal_code": "553131409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 PARK ST E",
"city": "ANNANDALE",
"state": "MN",
"postal_code": "553023060",
"telephone_number": "320-274-3737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORNFELD",
"first_name": "SAMANTHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-24",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annandale, MN
- Andrea Brekken
- Laura Burns, MSW, LICSW
- Central Minnesota Mental Health Center (Annandale Intensive Residential Treatment)
- Community Behavioral Health Hospital Annandale (CBHH Annandale)
- Abbe Dale, LICSW
- Rhonda Eckhart, RPT
- Enrichment Therapy Services
- Hannah Margaret Fischer
- Greta Fiskum, M.A., CCC-SLP
- Marcia Lee Froehling
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.