Individual provider Active NPI

Paige Elizabeth Ulvog, MOT, OTR/L

  • Occupational Therapist
  • Grand Forks, ND
National Provider Identifier
1760087019
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1824 Issued in ND
Practice address
2951 S 34TH St
Grand Forks, ND 58201-6061
Phone
(701) 757-2155
NPI assigned
Dec 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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 1824 ND Primary

Addresses

Primary practice location

2951 S 34TH St
Grand Forks, ND 58201-6061

Mailing address

7400 Countryside LN
Grand Forks, ND 58201-9247
Phone (701) 330-9084

Other names 1

  • Ms. Paige Elizabeth Rieger Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.littlemiraclesinc.com Little Miracles, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210301002408 ND Practitioner - Occupational Therapist in Private Practice 3476969312 Reassigns benefits to 1 organization
I20250505000961 MN Practitioner - Occupational Therapist in Private Practice 3476969312 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Little Miracles, Inc. CurrentSince Feb 15, 2021 Accepting new patients
Pediatric Therapy Partners, Inc. Occupational Therapist CurrentSince Mar 1, 2025 Accepting new patients

Locations

419 Atlantic Ave
Thief River Falls, MN 56701
Phone (218) 416-1482

3060 Frontier Way S
Fargo, ND 58104
Phone (701) 356-4384

2951 S 34th St
Grand Forks, ND 58201
Phone (701) 772-3851

2200 Library Cir
Grand Forks, ND 58201
Phone (701) 757-2155

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1760087019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 COUNTRYSIDE LN",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582019247",
            "telephone_number": "701-330-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 S 34TH ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016061",
            "telephone_number": "701-757-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULVOG",
        "first_name": "PAIGE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "1824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.littlemiraclesinc.com",
            "affiliation": "Y",
            "affiliationName": "Little Miracles, Inc.",
            "address_1": "2951 S 34th St",
            "city": "Grand Forks",
            "state": "ND",
            "country_code": "US",
            "postal_code": "582016061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PAIGE",
            "last_name": "RIEGER",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "MOT, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 3, 2020; 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.