Eric Halverson
Individual provider Active NPI Occupational Therapist · Dickinson, ND
NPI 1962461616 · NPPES record last updated Apr 4, 2011
Key facts
- NPI
- 1962461616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 911 (ND)
- Practice address
- 448 21St St W
Suite D1
Dickinson, ND 58601-2647 - Phone
- (701) 483-1000
- Fax
- (701) 483-1001
- NPI assigned
- Mar 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Therapy Solutions LLC
Practice addresses (Care Compare)
448 21St St W
Suite D1
Dickinson, ND 58601-2647
Phone (701) 483-1000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060210000394 | ND | Practitioner - Occupational Therapist in Private Practice | 4981619095 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 911 | ND | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Solutions LLC | Occupational Therapist | Current |
Accepting new patients |
| Applied Medical, Inc | Occupational Therapist | Past | Accepting new patients |
Locations
448 21st St W
Ste D1
Dickinson, ND 58601
Phone (701) 483-1000
1679 6th Ave W
Dickinson, ND 58601
Phone (701) 483-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 911 | ND | Yes |
Addresses
Primary practice location
448 21St St W
Suite D1
Dickinson, ND 58601-2647
Mailing address
448 21St St W
Suite D1
Dickinson, ND 58601-2647
Phone (701) 483-1000
Other providers in Dickinson, ND
- Cheyenne L Hagenbeck
- Danielle S Hager
- Shelly Marie Hall
- Jessica Halonen
- Valerie Lynn Halonen
- Tana L Hamann
- Brett Hample
- Jacy M Hansey
- Michelle Suzanne Hanson
- John B Hanstad
All providers in Dickinson, ND · Occupational Therapist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.