Bonnie Linda Teske, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

68 Issued in ND

Practice address

1405 7TH St S
Moorhead, MN 56560-3444

Phone

(218) 233-7508

NPI assigned

Jan 12, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1992161541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 7TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565603444",
            "telephone_number": "218-233-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 7TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565603444",
            "telephone_number": "218-233-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESKE",
        "first_name": "BONNIE",
        "middle_name": "LINDA",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "ND",
            "license": "68",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia Couseyon Tarley, CNA
• Jean M Taylor, LPCC
• Lavonda Taylor
• Shelby Jo Tczap
• Samantha Teschendorf
• The Family Link of Moorhead LLC
• The Lotus Center, Inc.
• The Lotus Center, Inc.
• The Lotus Center, Inc.
• The Village Family Service Center

• Occupational Therapy Assistant in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Occupational Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.