Active NPI
Grace A Nitschke, OT
- Occupational Therapist
- Fargo, ND
National Provider Identifier
1952299695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1879
- Practice address
- 4141 31St Ave S Ste 104
Fargo, ND 58104-8778 - Phone
- (701) 353-1488
- Fax
- (213) 867-2798
- NPI assigned
- Jun 24, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Occupational Therapist | 225XM0800X | 1879 | ND | |
| Occupational Therapist | 225X00000X | 106707 | MN | |
| Occupational Therapist | 225X00000X | 1879 | ND | Primary |
| Mental Health Occupational Therapist | 225XM0800X | 106707 | MN |
Addresses
Primary practice location
4141 31St Ave S Ste 104
Fargo, ND 58104-8778
Mailing address
4141 31St Ave S Ste 104
Fargo, ND 58104-8778
Phone (701) 353-1488
Other names 1
- Grace A Spanos
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, MN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- University of North Dakota School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4141 31St Ave S
Suite 104
Fargo, ND 58104-8778
Phone (701) 353-1488
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106707 | MN | MD | Occupational Therapist |
| 1879 | ND | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Bliss Therapy LLC | Occupational Therapist | Current | Accepting new patients |
Locations
4141 31st Ave S
Ste 104
Fargo, ND 58104
Phone (701) 353-1488
Organizations & group practices 1
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": "1750723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1952299695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4141 31ST AVE S STE 104",
"city": "FARGO",
"state": "ND",
"postal_code": "581048778",
"telephone_number": "701-353-1488",
"fax_number": "213-867-2798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4141 31ST AVE S STE 104",
"city": "FARGO",
"state": "ND",
"postal_code": "581048778",
"telephone_number": "701-353-1488",
"fax_number": "213-867-2798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NITSCHKE",
"first_name": "GRACE",
"middle_name": "A",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-24",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "ND",
"license": "1879",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "106707",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ND",
"license": "1879",
"primary": true
},
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "MN",
"license": "106707",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GRACE",
"last_name": "SPANOS",
"middle_name": "A",
"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 Oct 21, 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.