Erin Fullerton Grund

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

900 Cannon Valley Dr Ste A118
Northfield, MN 55057-1334

Phone

(507) 646-9495

NPI assigned

Jun 16, 2017

Last updated

May 22, 2024By 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

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Avera Marshall

  dba Avera Marshall Regional Medical Center

  • Critical Access Hospital
  • Marshall, MN
  • NPI 1568401016
  Medicare reassignment NPD
• Big Stone Therapies, Inc

  • Physical Therapy Clinic/Center
  • Big Stone City, SD
  • NPI 1124044656

  MN, Occupational Therapist

  Medicare reassignment NPD
• Avera Marshall

  dba Avera Medical Group Optometry - Marshall

  • Optometrist
  • Marshall, MN
  • NPI 1487422465
  NPD

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

{
    "created_epoch": "1497571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1417487927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CROSS ST",
            "city": "BIG STONE CITY",
            "state": "SD",
            "postal_code": "572168237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CANNON VALLEY DR STE A118",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550571334",
            "telephone_number": "507-646-9495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Corporate Center Curv Ste 200",
            "address_purpose": "LOCATION",
            "city": "Eagan",
            "state": "MN",
            "postal_code": "551211372",
            "country_code": "US",
            "telephone_number": "651-968-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULLERTON GRUND",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-16",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis A Foote Milbrandt, RN MA LP
• Free Range Mental Health PLLC (Unlimited Roads Behavioral Health)
• Ann Kathryn Friedmann, M.D.
• Jose M Fulco, MD
• Full Circle Labs LLC
• Martin J Gadek, MD
• Jenny Lea Gamer, L.AC
• James Eugene Gannon, PHARM.D. RPH
• Brian Garanich, PHARMD
• Robert Gersky, L.AC.

• Occupational Therapist in Northfield, MN
• Providers in Northfield, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.