Level Ground Health & Wellness

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

LEVEL GROUND HEALTH & WELLNESS

Practice address

6701 70TH Ave S
Horace, ND 58047-9577

Phone

(218) 849-0369

NPI assigned

Dec 18, 2020

Organization subpart

No

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

Authorized official

Name

Hannah Rae Halbakken, OTR/L

Title

Occupational Therapist

Phone

(218) 849-0369

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1720674237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 70TH AVE S",
            "city": "HORACE",
            "state": "ND",
            "postal_code": "580479577",
            "telephone_number": "218-849-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 70TH AVE S",
            "city": "HORACE",
            "state": "ND",
            "postal_code": "580479577",
            "telephone_number": "218-849-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVEL GROUND HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "HALBAKKEN",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "218-849-0369",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.