Active NPI
Maisie Fulton, OTD/R
- Occupational Therapist
- Dickinson, ND
National Provider Identifier
1457076002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 664 12TH St W Ste C
Dickinson, ND 58601-3511 - Phone
- (701) 483-3899
- Fax
- (701) 483-3889
- NPI assigned
- Oct 6, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
664 12TH St W Ste C
Dickinson, ND 58601-3511
Mailing address
870 Pheasant Run Ave
Dickinson, ND 58601-6536
Phone (701) 483-3899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wonderment Therapies PLLC | Occupational Therapist | Current | Accepting new patients |
Locations
664 12th St W
Ste C
Dickinson, ND 58601
Phone (701) 483-3899
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1457076002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 PHEASANT RUN AVE",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586016536",
"telephone_number": "701-483-3899",
"fax_number": "701-483-3889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "664 12TH ST W STE C",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586013511",
"telephone_number": "701-483-3899",
"fax_number": "701-483-3889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULTON",
"first_name": "MAISIE",
"credential": "OTD/R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-06",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dickinson, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.