KAYLA BROTTLUND (NPI# 1013370246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013370246 |
| Entity Type | Individual |
| Full Name | KAYLA BROTTLUND |
| Practice Address |
201 University Dr S Fargo ND 58103-1775 |
| Practice Telephone | 7012393000 |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 1460 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
201 UNIVERSITY DR S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-1775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114925120 | American Lutheran Homes Inc | Clinic/Center | 201 University Dr S, Fargo, ND 58103-1775 | 2005-07-13 |
| 1063052751 | Danielle Imhof | Physical Therapist | 201 University Dr S, Fargo, ND 58103-1775 | 2020-01-09 |
| 1184264293 | Kimberly Jo Klayson | Physical Therapy Assistant | 201 University Dr S, Fargo, ND 58103-1775 | 2020-01-07 |
| 1619361235 | Jessica Stenehjem | Physical Therapist | 201 University Dr S, Fargo, ND 58103-1775 | 2015-03-20 |
| 1922492644 | Carolyn Krum | Occupational Therapist | 201 University Dr S, Fargo, ND 58103-1775 | 2015-03-19 |
| 1134523004 | American Lutheran Homes Inc | Clinic/Center | 201 University Dr S, Fargo, ND 58103-1775 | 2014-10-21 |
| 1972922268 | Jill Thomson | Occupational Therapy Assistant | 201 University Dr S, Fargo, ND 58103-1775 | 2014-04-15 |
| 1386063683 | Chelsey Lee Edwards | Occupational Therapist | 201 University Dr S, Fargo, ND 58103-1775 | 2014-04-15 |
| 1740418920 | Bethany Towers Basic Care | Custodial Care Facility | 201 University Dr S, Fargo, ND 58103-1775 | 2009-06-26 |
| 1043451123 | Bethany On 42nd | Skilled Nursing Facility | 201 University Dr S, Fargo, ND 58103-1775 | 2009-03-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
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| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134780349 | Embrace Therapy Services | Occupational Therapist | 3500 42nd St S, Fargo, ND 58104-6945 | 2019-06-27 |
| 1760953582 | Breanna Rose Taralson | Occupational Therapist | 5678 Bishops Blvd S, Fargo, ND 58104-7253 | 2018-12-06 |
| 1003393000 | Shauna R Nelson | Occupational Therapist | 1711 Gold Dr S Ste 120, Fargo, ND 58103-6416 | 2018-07-23 |
| 1548713316 | Suzanne Christine Vetter | Occupational Therapist | 4700 46th St S Apt 304, Fargo, ND 58104-9009 | 2016-07-28 |
| 1891198271 | Sharon Westphal | Occupational Therapist | 1834 15th St S, Fargo, ND 58103-4817 | 2014-09-30 |
| 1972849131 | Leslie Ann Pladson Frie | Occupational Therapist | 2800 Main Ave, Fargo, ND 58103-6811 | 2012-12-17 |
| 1457663171 | Kristine Morris | Occupational Therapist | 3001 11th Street South, Fargo, ND 58103 | 2010-07-10 |
| 1164753737 | Professional Rehabilitation Center Inc | Occupational Therapist | 1200 Harwood Dr S, Fargo, ND 58104-6298 | 2010-01-21 |
| 1033341557 | Renae Joy Troyer | Occupational Therapist | 1711 Gold Dr. S., Suite 120, Fargo, ND 58103-6416 | 2009-08-17 |
| 1659507226 | Kelly N Costello | Occupational Therapist | 4622 40th Ave S Ste B, Fargo, ND 58104-4394 | 2009-06-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.