Active NPI
Patricia Trejo, OTR/L
- Occupational Therapist
- Devils Lake, ND
National Provider Identifier
1851179683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2013
- Practice address
- 1001 7TH St NE
Devils Lake, ND 58301-2719 - Phone
- (701) 662-2157
- NPI assigned
- Sep 21, 2023
- Last updated
- Sep 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2013 | ND | Primary |
Addresses
Primary practice location
1001 7TH St NE
Devils Lake, ND 58301-2719
Mailing address
3655 Ruemmele Rd Apt 211
Grand Forks, ND 58201-6199
Phone (805) 354-9381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013 | ND | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1851179683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3655 RUEMMELE RD APT 211",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582016199",
"telephone_number": "805-354-9381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 7TH ST NE",
"city": "DEVILS LAKE",
"state": "ND",
"postal_code": "583012719",
"telephone_number": "701-662-2157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREJO",
"first_name": "PATRICIA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-21",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ND",
"license": "2013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Devils Lake, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.