Sommer Lea Mosser, MS,OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1014 Issued in ND

Practice address

720 20TH Ave SW
Minot, ND 58701-6441

Phone

(701) 721-1200

Fax

(701) 838-8444

NPI assigned

Dec 11, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Sommer Lea Halvorson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Bright Path Pediatric Therapy

  • Occupational Therapist
  • Minot, ND
  • NPI 1164970190
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476576000000",
    "number": "1982887121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 29TH AVE SE",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587017186",
            "telephone_number": "701-721-1200",
            "fax_number": "701-838-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 20TH AVE SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016441",
            "telephone_number": "701-721-1200",
            "fax_number": "701-838-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSER",
        "first_name": "SOMMER",
        "middle_name": "LEA",
        "credential": "MS,OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2016-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "1014",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225X00000X",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOMMER",
            "last_name": "HALVORSON",
            "middle_name": "LEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Morrison
• Kamryn Paige Morrison
• Mosser Chiropractic, PC
• Carson Mosser, DC
• Mark A Mosser, DC
• Amber Moum
• Alyssa Mueller, RN
• Jessica R Mugge, PH D
• Masum Mukit, MD
• Alexandra Mulder

• Occupational Therapist in Minot, ND
• Providers in Minot, ND by specialty
• Occupational Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.