Individual provider Active NPI

Heidi L Miller, OT

  • Occupational Therapist
  • Grand Forks, ND
National Provider Identifier
1740902873
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
3535 S 31St St Ste 105
Grand Forks, ND 58201-3592
Phone
(701) 317-2897
Fax
(701) 213-4345
NPI assigned
Sep 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

3535 S 31St St Ste 105
Grand Forks, ND 58201-3592

Mailing address

1311 S Washington St
Grand Forks, ND 58201-5406
Phone (701) 317-2897

Other practice location 1

117 N Washington St
Grand Forks, ND 58203-3450
Phone (701) 317-2897

Other practice location 2

1311 S Washington St
Grand Forks, ND 58201-5406
Phone (701) 317-2897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221011002864 ND Practitioner - Occupational Therapist in Private Practice 7315313632 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1979NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Suedel Therapeutics PLLC Occupational Therapist CurrentSince Sep 15, 2022 Accepting new patients

Locations

3535 S 31st St
Ste 105
Grand Forks, ND 58201
Phone (701) 317-2897

1311 S Washington St
Grand Forks, ND 58201
Phone (701) 317-2897

117 N Washington St
Grand Forks, ND 58203
Phone (701) 317-2897

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1740902873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 S WASHINGTON ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015406",
            "telephone_number": "701-317-2897",
            "fax_number": "701-213-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 S 31ST ST STE 105",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582013592",
            "telephone_number": "701-317-2897",
            "fax_number": "701-213-4345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 N Washington St",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582033450",
            "country_code": "US",
            "telephone_number": "701-317-2897",
            "fax_number": "701-213-4345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1311 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582015406",
            "country_code": "US",
            "telephone_number": "701-317-2897",
            "fax_number": "701-213-4345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "HEIDI",
        "middle_name": "L",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.