Active NPI
Jill A. Stroup, MS, OTR/L
- Occupational Therapist
- Fargo, ND
National Provider Identifier
1952832271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1550
- Practice address
- 3060 Frontier Way S
Fargo, ND 58104-8909 - Phone
- (701) 232-2340
- Fax
- (701) 232-2330
- NPI assigned
- Mar 27, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 100210 | MN | |
| Pediatric Occupational Therapist | 225XP0200X | 100210 | MN | |
| Occupational Therapist | 225X00000X | 1550 | ND | Primary |
Addresses
Primary practice location
3060 Frontier Way S
Fargo, ND 58104-8909
Mailing address
3060 Frontier Way South
Fargo, ND 58104
Phone (701) 232-2340
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1550 | ND | MD | Addiction (Substance Use Disorder) Counselor |
| 100210 | MN | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1952832271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3060 FRONTIER WAY SOUTH",
"city": "FARGO",
"state": "ND",
"postal_code": "58104",
"telephone_number": "701-232-2340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3060 FRONTIER WAY S",
"city": "FARGO",
"state": "ND",
"postal_code": "581048909",
"telephone_number": "701-232-2340",
"fax_number": "701-232-2330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROUP",
"first_name": "JILL",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-27",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "100210",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MN",
"license": "100210",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ND",
"license": "1550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 4, 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.