Active NPI
Motivate Minds LLC
- Occupational Therapist
- Fargo, ND
National Provider Identifier
1730837089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- MOTIVATE MINDS LLC
- Practice address
- 1445 1St Ave N
Fargo, ND 58102-4203 - Phone
- (701) 612-8323
- NPI assigned
- Mar 15, 2022
- Last updated
- Mar 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shannon Pfau, OTR/L
- Title
- Owner
- Phone
- (612) 987-6677
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
1445 1St Ave N
Fargo, ND 58102-4203
Mailing address
5532 59TH St S
Fargo, ND 58104-5688
Phone (612) 987-6677
Other names 1
- mOTivate minds LLC
National Provider Directory
National Provider DirectoryLocations
1445 1st Ave N
Fargo, ND 58102
Phone (612) 987-6677
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Occupational Therapist
- Fargo, ND
- NPI 1023553849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647302400000",
"number": "1730837089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5532 59TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581045688",
"telephone_number": "612-987-6677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1445 1ST AVE N",
"city": "FARGO",
"state": "ND",
"postal_code": "581024203",
"telephone_number": "701-612-8323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOTIVATE MINDS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-15",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A",
"authorized_official_last_name": "PFAU",
"authorized_official_first_name": "SHANNON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-987-6677",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "mOTivate minds LLC",
"code": "4",
"type": "Former Legal Business 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 Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.