Individual provider Active NPI

Joy A Tandberg, OTR, CHT, CHT, DRS

  • Occupational Therapist
  • Cummings, ND
National Provider Identifier
1881854792
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1612 Issued in ND
Practice address
225 2ND St
Cummings, ND 58223-2307
Phone
(701) 330-4445
Fax
(855) 952-5782
NPI assigned
Jun 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 105703 MN
Occupational Therapist 225X00000X
Occupational Therapist 225X00000X OT.0001348 CO
Hand Occupational Therapist 225XH1200X OT.0001348 CO
Hand Occupational Therapist 225XH1200X
Occupational Therapist 225X00000X 1612 ND Primary

Addresses

Primary practice location

225 2ND St
Cummings, ND 58223-2307

Mailing address

225 2ND St
Cummings, ND 58223-2307
Phone (701) 330-4445

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT.0001348COMDOccupational Therapist
1612NDMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1881854792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 2ND ST",
            "city": "CUMMINGS",
            "state": "ND",
            "postal_code": "582232307",
            "telephone_number": "701-330-4445",
            "fax_number": "855-952-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 2ND ST",
            "city": "CUMMINGS",
            "state": "ND",
            "postal_code": "582232307",
            "telephone_number": "701-330-4445",
            "fax_number": "855-952-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANDBERG",
        "first_name": "JOY",
        "middle_name": "A",
        "credential": "OTR, CHT, CHT, DRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "105703",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0001348",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CO",
            "license": "OT.0001348",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "1612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cummings, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.