Benjamin Germolus, OTD, OTR/L
Individual provider Active NPI Occupational Therapist · Litchfield, MN
NPI 1346978087 · NPPES record last updated Dec 27, 2023
Key facts
- NPI
- 1346978087
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 1965 (ND)
- Practice address
- 612 S Sibley Ave
Litchfield, MN 55355-3340 - Phone
- (320) 693-4528
- Fax
- (320) 693-4561
- NPI assigned
- Aug 10, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1965 | ND | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy Partners, Inc. | Current |
Accepting new patients |
Locations
3060 Frontier Way S
Fargo, ND 58104
Phone (701) 356-4384
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1965 | ND | Yes |
Addresses
Primary practice location
612 S Sibley Ave
Litchfield, MN 55355-3340
Mailing address
612 S Sibley Ave
Litchfield, MN 55355-3340
Phone (320) 639-4528
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- Lindsey Greenlun
- Ashlee H Gruenhagen
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All providers in Litchfield, MN · Occupational Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.