Organization Active NPI

Holistic Bliss Therapy LLC

  • Occupational Therapist
  • Fargo, ND
National Provider Identifier
1538975370
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
HOLISTIC BLISS THERAPY LLC
Practice address
4141 31St Ave S Ste 104
Fargo, ND 58104-8778
Phone
(701) 353-1488
Fax
(213) 867-2798
NPI assigned
Dec 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Meaghan L Wurtz, OTNPI 1669040648
Title
Owner
Phone
(701) 640-1478

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

4141 31St Ave S Ste 104
Fargo, ND 58104-8778

Mailing address

4141 31St Ave S Ste 104
Fargo, ND 58104-8778
Phone (701) 353-1488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250219002785 ND Part B Supplier - Clinic/Group Practice 9830619923 Receives reassigned benefits from 3 practitioners
Practice locations: Fargo, ND
O20260505004468 MN Part B Supplier - Clinic/Group Practice 9830619923 Receives reassigned benefits from 3 practitioners
Practice locations: Breckenridge, MN

National Provider Directory

National Provider Directory

Locations

4141 31st Ave S
Ste 104
Fargo, ND 58104
Phone (701) 353-1488

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1538975370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 31ST AVE S STE 104",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048778",
            "telephone_number": "701-353-1488",
            "fax_number": "213-867-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 31ST AVE S STE 104",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048778",
            "telephone_number": "701-353-1488",
            "fax_number": "213-867-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC BLISS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-06",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "WURTZ",
        "authorized_official_first_name": "MEAGHAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-640-1478",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.