Active NPI
Meaghan Laverne Wurtz, OTR/L
- Occupational Therapist
- Fargo, ND
National Provider Identifier
1669040648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1909
- Practice address
- 4141 31St Ave S Ste 104
Fargo, ND 58104-8778 - Phone
- (701) 353-1488
- Fax
- (213) 867-2798
- NPI assigned
- Jun 15, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1909 | ND | Primary |
| Mental Health Occupational Therapist | 225XM0800X | 1909 | ND | |
| Mental Health Occupational Therapist | 225XM0800X | 106641 | MN | |
| Occupational Therapist | 225X00000X | 106641 | MN |
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
Other names 1
- Meaghan Laverne Wolfgram
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, MN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- University of North Dakota School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4141 31St Ave S
Suite 104
Fargo, ND 58104-8778
Phone (701) 353-1488
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106641 | MN | MD | Occupational Therapist |
| 1909 | ND | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Bliss Therapy LLC | Occupational Therapist | Current | Accepting new patients |
Locations
4141 31st Ave S
Ste 104
Fargo, ND 58104
Phone (701) 353-1488
4141 31st Ave S
Ste 105
Fargo, ND 58104
Phone (605) 725-5030
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": "1623715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760313600000",
"number": "1669040648",
"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": {
"last_name": "WURTZ",
"first_name": "MEAGHAN",
"middle_name": "LAVERNE",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-15",
"last_updated": "2025-10-13",
"certification_date": "2025-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ND",
"license": "1909",
"primary": true
},
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "ND",
"license": "1909",
"primary": false
},
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "MN",
"license": "106641",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "106641",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEAGHAN",
"last_name": "WOLFGRAM",
"middle_name": "LAVERNE",
"code": "1",
"type": "Former Name"
}
]
}
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 Oct 13, 2025; 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.