Active NPI
Paige Nicole Simonson
- Occupational Therapist
- East Grand Forks, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 106708
- Practice address
- 625 Demers Ave
East Grand Forks, MN 56721-1833 - Phone
- (218) 773-5858
- NPI assigned
- Sep 15, 2020
- Last updated
- Jul 2, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1812 | ND | |
| Occupational Therapist | 225X00000X | 106708 | MN | Primary |
Addresses
Primary practice location
625 Demers Ave
East Grand Forks, MN 56721-1833
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-9419
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1480766 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 5074
Sioux Falls, SD 57117
PO Box
Suite 5074
Sioux Falls, SD 57117-5074
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1812 | ND | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red Door Pediatric Therapy, Inc | Occupational Therapist | Current | Accepting new patients |
| Solutions Counseling Services, Inc. | Past | Accepting new patients |
Locations
2810 19th Ave S
Grand Forks, ND 58201
Phone (701) 222-3175
Organizations & group practices 2
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.
-
dba Red Door Pediatric Therapy
- Speech-Language Pathologist
- Bismarck, ND
- NPI 1639257033
Occupational Therapist
-
dba Birchwood Therapeutic Services
- Professional Counselor
- Breckenridge, MN
- NPI 1578614038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782950400000",
"number": "1396350401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074",
"telephone_number": "605-328-9419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 DEMERS AVE",
"city": "EAST GRAND FORKS",
"state": "MN",
"postal_code": "567211833",
"telephone_number": "218-773-5858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONSON",
"first_name": "PAIGE",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-15",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ND",
"license": "1812",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "106708",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1480766",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Grand Forks, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.