Andrea K Benson, OTR/L
Individual provider Active NPI Occupational Therapist · Fargo, ND
NPI 1962643031 · NPPES record last updated Mar 18, 2009
Key facts
- NPI
- 1962643031
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 1077 (ND)
- Practice address
- 317 University Dr S
Suite B
Fargo, ND 58103-1762 - Phone
- (701) 371-7753
- Fax
- (701) 232-5534
- NPI assigned
- Mar 18, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1077 | ND | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond Boundaries Occupational Therapy, Inc. | Occupational Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1077 | ND | Yes |
Addresses
Primary practice location
317 University Dr S
Suite B
Fargo, ND 58103-1762
Mailing address
6142 Martens Way S
Fargo, ND 58104-7232
Phone (701) 371-7753
Other providers in Fargo, ND
- Heather Rae Bennington
- Siobhan Benser
- Benson Psychological Services PC
- Alexandra Benson-Tuff
- Aaron Matthew Benson
- Ashley Lynn Benson
- Becky Ann Benson
- Brittney L Benson
- Claire Benson
- Jamie Benson
All providers in Fargo, 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 Mar 18, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.