Active NPI
Karen R Goetzfridt-Gidney, O.T.
- Occupational Therapist
- Aitkin, MN
National Provider Identifier
1578849949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 105347
- Practice address
- 301 Minnesota Ave S
Aitkin, MN 56431-1626 - Phone
- (218) 927-5526
- NPI assigned
- Oct 28, 2011
- Last updated
- Mar 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 105347 | MN | Primary |
Addresses
Primary practice location
301 Minnesota Ave S
Aitkin, MN 56431-1626
Mailing address
500 Cross St
Big Stone City, SD 57216-8237
Phone (605) 541-1140
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105347 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maine School Administrative District No. 37 | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Harrington, ME
- NPI 1598978306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1578849949",
"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",
"telephone_number": "605-541-1140",
"fax_number": "605-541-0109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MINNESOTA AVE S",
"city": "AITKIN",
"state": "MN",
"postal_code": "564311626",
"telephone_number": "218-927-5526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOETZFRIDT-GIDNEY",
"first_name": "KAREN",
"middle_name": "R",
"credential": "O.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-28",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "105347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aitkin, MN
- Fresenius Medical Care Centracare Dialysis, LLC (Fresenius Kidney Care Aitkin)
- Holly N Frischmon, DNAP, APRN, CRNA
- Lisa A Gerhart, NP
- Amber B Gillett, MSW, LICSW
- Melissa Goeritz, PTA
- Grand St Paul CVS LLC (CVS Pharmacy # 10397)
- Jacqueline Grinnell, APRN
- Danielle Lynn Groen, CNP
- Kathleen Halbert, FNP-BC
- Melissa Handt, MSW, LICSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.