Erin Nichole Lindberg, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

102712 Issued in MN

Practice address

115 Willow St W
Detroit Lakes, MN 56501-3922

Phone

(218) 850-8308

Fax

(855) 266-6722

NPI assigned

Jun 16, 2006

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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Integrative Therapies & Wellness

  • Occupational Therapist
  • Detroit Lakes, MN
  • NPI 1275151896
  NPD Authorized official

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1689618662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 BAY RIDGE DR",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565014912",
            "telephone_number": "218-847-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WILLOW ST W",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013922",
            "telephone_number": "218-850-8308",
            "fax_number": "855-266-6722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "803 Roosevelt Ave",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Detroit Lakes",
            "state": "MN",
            "postal_code": "565013744",
            "country_code": "US",
            "telephone_number": "218-844-5555",
            "fax_number": "218-844-6057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDBERG",
        "first_name": "ERIN",
        "middle_name": "NICHOLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "102712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2246525",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132711900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD-MN",
            "identifier": "273K7HA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "64-04793",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer K Lessman, PA-C
• Laura Lou Lhotka, MD
• Liberty Health PLLC
• Life Choices Counseling
• Lincare Inc.
• Jessica Lindblom, CNP
• Mark David Lindquist, MD
• Sierra Rose Link, APRN,CNP
• Lane Renee Lipetzky, RD, LD
• Jean-Paul Lipton

• Occupational Therapist in Detroit Lakes, MN
• Providers in Detroit Lakes, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.