Karen Gayton, MS, OTR/L

Individual provider Active NPI Neurorehabilitation Occupational Therapist · Bismarck, ND

NPI 1891739074 · NPPES record last updated Oct 7, 2008

Key facts

NPI
1891739074
Entity type
Individual (NPI type 1)
Primary specialty
Neurorehabilitation Occupational Therapist 225XN1300X
License
ND670 (ND)
Practice address
425 E Avenue C
Bismarck, ND 58501-3942
Phone
(701) 323-0750
Fax
(701) 323-0753
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
670NDMDOptometrist
ND670NDMDNeurorehabilitation Occupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neurorehabilitation Occupational Therapist 225XN1300X ND670 ND Yes

Addresses

Primary practice location

425 E Avenue C
Bismarck, ND 58501-3942

Mailing address

425 E Avenue C
Bismarck, ND 58501-3942
Phone (701) 323-0750

Other identifiers

IdentifierTypeStateIssuer
22614OtherNDBCBS

Other providers in Bismarck, ND

All providers in Bismarck, ND · Neurorehabilitation Occupational Therapist in North Dakota

Sources for this page

Verify at the official NPI Registry.