Active NPI
Mary Dahly, MS
- Occupational Therapist
- Minot, ND
National Provider Identifier
1952889479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1560
- Practice address
- 2080 36TH Ave SW Ste 110
Minot, ND 58701 - Phone
- (701) 222-3175
- Fax
- (701) 222-3186
- NPI assigned
- Aug 6, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1560 | ND | Primary |
Addresses
Primary practice location
2080 36TH Ave SW Ste 110
Minot, ND 58701
Mailing address
2625 N 19TH St
Bismarck, ND 58503-0574
Phone (701) 222-3175
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1560 | ND | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red Door Pediatric Therapy, Inc | Occupational Therapist | Past | Accepting new patients |
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.
-
dba Red Door Pediatric Therapy
- Speech-Language Pathologist
- Bismarck, ND
- NPI 1639257033
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1952889479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 N 19TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585030574",
"telephone_number": "701-222-3175",
"fax_number": "701-222-3186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 36TH AVE SW STE 110",
"city": "MINOT",
"state": "ND",
"postal_code": "58701",
"telephone_number": "701-222-3175",
"fax_number": "701-222-3186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHLY",
"first_name": "MARY",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-06",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ND",
"license": "1560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minot, ND
- Blendi Cumani, MD
- Stephanie Cummins
- Cusa Es, LLC Dba Taxi 9000 Minot
- Cassandra Czerwonka, CASE MANAGER
- Amanda Daggett, PMHNP
- Rebecca Dawn Daigneault, LCSW
- Angel Dailey, RBT
- Dakota Boys & Girls Ranch Association
- Dakota Boys & Girls Ranch Association (Dakota Boys Ranch Minot RTC)
- Dakota Boys & Girls Ranch Association (Dakota Boys & Girls Ranch RCCF)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.