Active NPI
Kurran Opp, OTR/L
- Neurorehabilitation Occupational Therapist
- Bismarck, ND
National Provider Identifier
1972908572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurorehabilitation Occupational Therapist
- License
- 1230
- Practice address
- 4580 Coleman St
Bismarck, ND 58503-0431 - Phone
- (701) 751-5118
- NPI assigned
- Oct 27, 2014
- Last updated
- Oct 27, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neurorehabilitation Occupational Therapist | 225XN1300X | 1230 | ND | Primary |
Addresses
Primary practice location
4580 Coleman St
Bismarck, ND 58503-0431
Mailing address
4580 Coleman St
Bismarck, ND 58503-0431
Phone (701) 751-5118
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1230 | ND | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414368000000",
"number": "1972908572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4580 COLEMAN ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585030431",
"telephone_number": "701-751-5118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4580 COLEMAN ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585030431",
"telephone_number": "701-751-5118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPP",
"first_name": "KURRAN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-27",
"last_updated": "2014-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "ND",
"license": "1230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.