Gwendalyn Ann Soiseth, MOT OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1204 Issued in ND

Practice address

222 University Ave
Williston, ND 58801-5658

Phone

(701) 572-6757

NPI assigned

Nov 29, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Wilmac Special Education Unit

  • Local Education Agency (LEA)
  • Williston, ND
  • NPI 1225185457
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1679840102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2397",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588022397",
            "telephone_number": "701-572-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 UNIVERSITY AVE",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588015658",
            "telephone_number": "701-572-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOISETH",
        "first_name": "GWENDALYN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MOT OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-29",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Smith
• Holly Snellings, LSW
• Tyler Snellings, PT, DPT
• Valerie Ann Snow
• Sober Society
• Sol Emotion Therapy LLC
• Sara Solberg, MD
• Kayla Solem
• Matthew Song, PHARMD
• Yesul Song

• All providers in Williston, ND
• Occupational Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.