Individual provider Active NPI

Meaghan Laverne Wurtz, OTR/L

  • Occupational Therapist
  • Fargo, ND
National Provider Identifier
1669040648
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1909 Issued in ND
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

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240606003262 ND Practitioner - Occupational Therapist in Private Practice 3072055979 Reassigns benefits to 1 organization
I20260506002007 MN Practitioner - Occupational Therapist in Private Practice 3072055979 Reassigns benefits to 1 organization

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
Holistic Bliss Therapy LLCGroup PAC ID 9830619923, 3 clinicians

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

LicenseStateTypeSpecialty
106641MNMDOccupational Therapist
1909NDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Bliss Therapy LLC Occupational Therapist CurrentSince Feb 1, 2025 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.

Verify at the official NPI Registry.