JESSICA WIRTH (NPI# 1477635779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477635779 |
| Entity Type | Individual |
| Full Name | JESSICA WIRTH |
| Credential | OTR |
| Practice Address |
620 14th Ave Ne Devils Lake ND 58301-2808 |
| Mailing Address |
Po Box 63 Munich ND 58352-0063 |
| Practice Telephone | 7636895385 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 918 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BCBS | 24546 | 01 |
| ND | 54829 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083267066 | Jessica Kristin Wirth | Pharmacist | 1355 N Ferdon Blvd, Crestview, FL 32536-1713 | 2019-07-19 |
| 1851774905 | Jessica Wirth | Nurse Practitioner | 2400 St Francis Dr, Breckenridge, MN 56520-1025 | 2015-07-08 |
| 1932591245 | Jessica Marian Wirth | Physician Assistant | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2015-02-23 |
| Street Address |
620 14TH AVE NE |
| City | DEVILS LAKE |
| State | ND |
| Zip Code | 58301-2808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689667834 | Lake Region Lutheran Home, Inc. | Nursing Facility/Intermediate Care Facility | 620 14th Ave Ne, Devils Lake, ND 58301-2808 | 2005-08-23 |
| 1871693861 | Jann Belanus | Physical Therapist | 620 14th Ave Ne, Devils Lake, ND 58301-2808 | 2006-09-22 |
| 1972603975 | Heidi Brown | Speech-Language Pathologist | 620 14th Ave Ne, Devils Lake, ND 58301-2808 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187977 | Mark Christian Beatty | Social Worker | 1820 East Walnut Street, Suite 5, Devils Lake, ND 58301 | 2020-06-01 |
| 1841837663 | Wayne Rance | Pharmacist | 323 5th St Ne Ste 2, Devils Lake, ND 58301 | 2019-12-01 |
| 1639427792 | Donna Rance | Pharmacist | Bell Pharmacy 323 5th St Ne, Suite #2, Devils Lake, ND 58301 | 2012-08-21 |
| 1356603997 | Stephanie Ann Foughty | Family Medicine | 1001 7th St Ne Altru Clinic/devlis Lake, Devils Lake, ND 58301 | 2012-06-11 |
| 1245534668 | Altru Specialty Services, Inc. | Durable Medical Equipment & Medical Supplies | 223 4th Avenue Northeast, Suite B, Devils Lake, ND 58301 | 2010-12-28 |
| 1780830208 | Steven L Pederson | Physical Therapist | 404 Fourth Street N, Devils Lake, ND 58301 | 2008-08-15 |
| 1437368768 | Leatha N Vaagen | Physical Therapist | 404 Fourth Street North, Devils Lake, ND 58301 | 2007-05-22 |
| 1770634479 | Becky Fletschock | Pharmacist | Clinic Pharmacy, 1001 7th St Ne, Devils Lake, ND 58301 | 2007-01-16 |
| 1518047570 | The Evangelical Lutheran Good Samaritan Society | Custodial Care Facility | 302 7th Ave, Devils Lake, ND 58301 | 2006-10-16 |
| 1679591929 | Emergency Ambulance of Devils Lake | Ambulance | 314 2nd Ave Se, Devils Lake, ND 58301 | 2006-07-17 |
| Find all providers in zip 58301 | ||||
| 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 |
|---|---|---|---|---|
| 1902904121 | Lake Region Special Education | Occupational Therapist | 801 5th Ave Se, Devils Lake, ND 58301-3649 | 2006-09-20 |
| 1346651361 | Brandi Freeman | Occupational Therapist | 801 5th Ave Se, Devils Lake, ND 58301-3649 | 2014-05-13 |
| 1760549968 | Diane Marie Lippert | Occupational Therapist | 801 5th Ave Se, Devils Lake, ND 58301-3649 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151086 | Saje Backman | Occupational Therapist | 1600 E Interstate Ave # 5, Bismarck, ND 58503-1226 | 2020-07-08 |
| 1730700824 | Innovative Therapy Solutions & Consulting LLC | Occupational Therapist | 2550 Windsor Pl N, Mandan, ND 58554-8151 | 2020-04-30 |
| 1417577693 | Prairie Grit Adaptive Sports | Occupational Therapist | 3515 16th St Sw, Minot, ND 58701-7225 | 2020-04-17 |
| 1902446271 | Suedel Therapeutics Pllc | Occupational Therapist | 1311 S Washington St, Grand Forks, ND 58201-5406 | 2020-01-14 |
| 1063051969 | Maria Michelle Griffith | Occupational Therapist | 120 E Calgary Ave, Bismarck, ND 58503-0302 | 2019-12-26 |
| 1831733039 | Laurel Elizabeth Busch | Occupational Therapist | 10685 101st Ave Nw, Columbus, ND 58727-9420 | 2019-10-30 |
| 1518513688 | Erin Mercedes Isaacson | Occupational Therapist | 1302 1st St Ne Ste A, Mandan, ND 58554-3782 | 2019-08-14 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1134780349 | Embrace Therapy Services | Occupational Therapist | 3500 42nd St S, Fargo, ND 58104-6945 | 2019-06-27 |
| 1497218424 | Anna Eleanor Loomis | Occupational Therapist | 530 Browning Ave, Bismarck, ND 58503-1006 | 2019-04-08 |
| Find all providers with the same taxonomy | ||||
| City | DEVILS LAKE |
| Zip Code | 58301 |
Please comment or provide details below to improve the information on JESSICA WIRTH.
| 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.