Cassandra Jae Broten, MSOT, OTR/L
Individual provider Active NPI Occupational Therapist · Minot, ND
NPI 1992233258 · NPPES record last updated May 31, 2017
Key facts
- NPI
- 1992233258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 1198 (ND)
- Practice address
- 420 3Rd St SE
Minot, ND 58701-4410 - Phone
- (701) 857-2719
- NPI assigned
- May 31, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 1198 | ND | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1198 | ND | Yes |
Addresses
Primary practice location
420 3Rd St SE
Minot, ND 58701-4410
Mailing address
1410 30TH Ave NW Apt 1208
Minot, ND 58703-5073
Phone (701) 720-1468
Other providers in Minot, ND
- Teressa Mary Brock
- Sherry L. Broderick
- Christina Marie Brooks
- Jodi Ann Brophy
- Erika Brorby
- Alexis Brown
- Eileen Brown
- Erin Leigh Brown
- Jordyn Brown
- Nicole Marie Brown
All providers in Minot, 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 May 31, 2017. 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.