Individual provider Active NPI

Rachel Rebecca Rivard, OTR/L

  • Occupational Therapist
  • Fargo, ND
National Provider Identifier
1861059057
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
105663 Issued in MN
Practice address
3244 51St St S
Fargo, ND 58104-7179
Phone
(701) 356-0062
Fax
(701) 356-5412
NPI assigned
May 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 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 105663 MN Primary

Addresses

Primary practice location

3244 51St St S
Fargo, ND 58104-7179

Mailing address

6092 59TH St S
Fargo, ND 58104-5778
Phone (701) 540-7590

Other identifiers 2

IdentifierTypeStateIssuer
105663OtherMNMINNESOTA OCCUPATIONAL THERAPY INDIVIDUAL LICENSE NUMBER
1784OtherNDLICENSE

Other names 1

  • Rachel Rebecca Weir Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250910000630 ND Practitioner - Occupational Therapist in Private Practice 2264765643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3244 51St St S
Fargo, ND 58104-7179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1784NDMDSocial Worker
105663MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Boundaries Speech Language Therapy, Inc. CurrentSince Sep 11, 2025 Accepting new patients
Beyond Boundaries Occupational Therapy, Inc. Occupational Therapist CurrentSince Sep 11, 2025 Accepting new patients

Locations

3244 51st St S
Fargo, ND 58104
Phone (701) 356-0062

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": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1861059057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6092 59TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045778",
            "telephone_number": "701-540-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3244 51ST ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047179",
            "telephone_number": "701-356-0062",
            "fax_number": "701-356-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVARD",
        "first_name": "RACHEL",
        "middle_name": "REBECCA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "105663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA OCCUPATIONAL THERAPY INDIVIDUAL LICENSE NUMBER",
            "identifier": "105663",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1784",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "WEIR",
            "middle_name": "REBECCA",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former 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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.