Anna Dyk, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

104711 Issued in MN

Practice address

102 W Beaton Dr Ste 105
West Fargo, ND 58078

Phone

(701) 261-4643

NPI assigned

Jul 18, 2014

Last updated

Nov 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Anna Flaten Former name

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Great Kids Therapy, LTD

  • Occupational Therapist
  • Fargo, ND
  • NPI 1558743013
  Medicare reassignment
• Great Kids Therapy, LTD.

  • Occupational Therapist
  • Fargo, ND
  • NPI 1497805196
  NPD (past)

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1760899082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W BEATON DR STE 105",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580782653",
            "telephone_number": "701-205-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W BEATON DR STE 105",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "58078",
            "telephone_number": "701-261-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYK",
        "first_name": "ANNA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "104711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "FLATEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aimee Duciaume
• Leya Durgin
• Sarah Dutt, LMT, LR
• Robert D Dvorak
• John Gregory Dye, O.D.
• Paige Earnest
• Mikenzie Eckroth, LCSW
• Jill L Ehrmantraut, PT, DPT
• Quinn Eisch
• Elaia Mental Health PLLC

• Occupational Therapist in West Fargo, ND
• Providers in West Fargo, ND by specialty
• Occupational Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.