Paige M Erickson, MOT, OTR/L
Individual provider Active NPI Occupational Therapist · Minot, ND
NPI 1417550898 · NPPES record last updated Oct 18, 2023
Key facts
- NPI
- 1417550898
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 1847 (ND)
- Practice address
- 215 2ND St SE
Minot, ND 58701 - Phone
- (701) 857-4400
- Fax
- (701) 857-4432
- NPI assigned
- Nov 18, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210211001123 | MN | Practitioner - Occupational Therapist in Private Practice | 3678988342 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milk & Honey Wellness Services LLC | Current | Accepting new patients | |
| Family Speech & Therapy Services, LLC | Occupational Therapist | Current |
Accepting new patients |
| Red Door Pediatric Therapy, Inc | Occupational Therapist | Past |
Accepting new patients |
Locations
1891 Station Pkwy NW
Andover, MN 55304
Phone (763) 307-4589
4301 Highway 7
Ste 155
St Louis Park, MN 55416
Phone (763) 755-4261
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | |||
| Occupational Therapist | 225X00000X | 1847 | ND | Yes |
Addresses
Primary practice location
215 2ND St SE
Minot, ND 58701
Mailing address
215 2ND St SE
Minot, ND 58701
Phone (701) 857-4400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1482121 | Medicaid | ND |
Other names
- Paige M Melby
Other providers in Minot, ND
- Heather L Erickson-Wold
- Arthur W Erickson
- Heather Mae Erickson
- Madison Erickson
- Marla Kay Erickson
- Bruce I Errett
- Aaron Ray Esquibel
- Michelle Marie Essex
- Ashley Estanislao
- Jonathan William Herschel Eubanks
All providers in Minot, ND · Occupational Therapist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.