Active NPI
Jamie Hillesland, OT
- Occupational Therapist
- West Fargo, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 222
- Practice address
- 415 32ND Ave E
West Fargo, ND 58078-7923 - Phone
- (701) 740-7876
- NPI assigned
- Apr 13, 2007
- Last updated
- Feb 1, 2021
- 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 | 222 | ND | Primary |
Addresses
Primary practice location
415 32ND Ave E
West Fargo, ND 58078-7923
Mailing address
621 Evergreen Dr
Grand Forks, ND 58201-8088
Phone (701) 740-7876
Other practice location 1
2424 32nd Ave S. Ste 103
Grand Forks, ND 58201-6509
Phone (701) 746-8374
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
415 32ND Ave E
West Fargo, ND 58078-7923
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 222 | ND | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achieve Therapy LLC | Current | Accepting new patients | |
| Hand Therapy Associates, PLLC | Occupational Therapist | Current | Accepting new patients |
| Achieve Therapy LLC | Occupational Therapist | Current | Accepting new patients |
| Rehabauthority, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
1560 S Carol St
Meridian, ID 83646
Phone (208) 495-4317
3170 43rd St S
Ste 101
Fargo, ND 58104
Phone (701) 277-8448
2424 32nd Ave S
Ste 103
Grand Forks, ND 58201
Phone (701) 792-6700
3035 Demers Ave
Grand Forks, ND 58201
Phone (701) 746-6694
701 Demers Ave
#B
Grand Forks, ND 58201
Phone (701) 772-2200
415 32nd Ave E
West Fargo, ND 58078
Phone (701) 740-7876
415 32nd Ave E
Ste B
West Fargo, ND 58078
Phone (701) 740-7876
Organizations & group practices 4
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.
-
dba Hand Therapy at Oak Ridge
- Occupational Therapist
- West Fargo, ND
- NPI 1134710882
-
- Multi-Specialty Clinic/Center
- Grand Forks, ND
- NPI 1730159690
Occupational Therapist
-
dba Achieve Therapy
- Physical Therapist
- Grand Forks, ND
- NPI 1346370640
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1659596096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 EVERGREEN DR",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582018088",
"telephone_number": "701-740-7876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 32ND AVE E",
"city": "WEST FARGO",
"state": "ND",
"postal_code": "580787923",
"telephone_number": "701-740-7876"
}
],
"practiceLocations": [
{
"address_1": "2424 32nd Ave S. Ste 103",
"address_purpose": "LOCATION",
"city": "Grand Forks",
"state": "ND",
"postal_code": "582016509",
"country_code": "US",
"telephone_number": "701-746-8374",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HILLESLAND",
"first_name": "JAMIE",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2021-02-01",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ND",
"license": "222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.