Active NPI
Chris Frank, OTR
- Occupational Therapist
- Grand Forks, ND
National Provider Identifier
1710069059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 448
- Practice address
- 817 Reeves Dr
Grand Forks, ND 58201-4963 - Phone
- (763) 689-5385
- NPI assigned
- Oct 19, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 100642 | MN | |
| Occupational Therapist | 225X00000X | 448 | ND | Primary |
Addresses
Primary practice location
817 Reeves Dr
Grand Forks, ND 58201-4963
Mailing address
817 Reeves Dr
Grand Forks, ND 58201-4963
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6407042 | Other | MN | MEDICA |
| 00G33TO | Other | MN | BCBS |
| 15471 | Other | ND | BCBS |
| 54577 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100642 | MN | MD | Occupational Therapist |
| 448 | ND | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710069059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 REEVES DR",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 REEVES DR",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014963",
"telephone_number": "763-689-5385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANK",
"first_name": "CHRIS",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "100642",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ND",
"license": "448",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6407042",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00G33TO",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "15471",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54577",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.