Active NPI
Caitlyn Ann Wolter, OTR/L
- Occupational Therapist
- Detroit Lakes, MN
National Provider Identifier
1578020442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 105895
- Practice address
- 1245 Washington Ave
Detroit Lakes, MN 56501-3905 - Phone
- (218) 846-2000
- NPI assigned
- Feb 26, 2019
- 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 | 105895 | MN | Primary |
Addresses
Primary practice location
1245 Washington Ave
Detroit Lakes, MN 56501-3905
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other practice location 1
415 Jefferson St N
Wadena, MN 56482-1264
Phone (218) 631-3510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1245 Washington Ave
Detroit Lakes, MN 56501-3905
Phone (218) 846-2000
1412 Main St
Hawley, MN 56549
Phone (218) 483-3564
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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": "1551139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1578020442",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 WASHINGTON AVE",
"city": "DETROIT LAKES",
"state": "MN",
"postal_code": "565013905",
"telephone_number": "218-846-2000"
}
],
"practiceLocations": [
{
"address_1": "415 Jefferson St N",
"address_purpose": "LOCATION",
"city": "Wadena",
"state": "MN",
"postal_code": "564821264",
"country_code": "US",
"telephone_number": "218-631-3510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLTER",
"first_name": "CAITLYN",
"middle_name": "ANN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-26",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "105895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit Lakes, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.