Great Kids Therapy, Ltd
NPI 1558743013ActiveOrganization· Occupational Therapist· Fargo, ND
Occupational Therapist in Fargo, North Dakota, registered in NPPES in June 2015. The authorized official on file is Kelsey Hoffmann, OTR/L, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1558743013 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 22, 2015 |
| Last updated in NPPES | Feb 28, 2024 |
| Certified by provider | Feb 28, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 345 | ND |
| Occupational Therapist | 225X00000X | 103207 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ND) |
|---|
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