Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730669995 Individual Practitioner Female Practitioner

Lisa Andrea Samuelson , OTR

Occupational Therapist - Pediatrics • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Lisa Samuelson, OTR is a registered healthcare professional specializing in Occupational Therapist - Pediatrics in Fargo, ND. Practice services are available at 4342 15TH AVE S STE 105 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4342 15th Ave S Ste 105

Fargo, ND 581031125

Telephone 7019369495
Fax 9522221994
Associated Practice Facility / Clinic
🏢 Embrace Therapy Services Facility NPI 1134780349

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapist - Pediatrics in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.5 Yrs
State Avg: 11.8 Yrs
Regional Practice Density
20 Specialists

Practicing in Fargo, ND (44 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-07-17
Occupational Therapist - Pediatrics Primary Specialty

NUCC Taxonomy Code: 225XP0200X

State License TX 114432

Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Hannah Sestak-Miller

Behavior Technician

NPI 1023973237
Christina Swendra , MOTRL

Occupational Therapist

NPI 1033311139
Chloe Wilson

Behavior Technician

NPI 1316421795
Abbie Marschke

Speech-Language Pathologist

NPI 1417883737
Eden Phillips

Behavior Technician

NPI 1447042031
Erica Entzminger , MS CCC-SLP

Speech-Language Pathologist

NPI 1467008243

MSCCCSLP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 17, 2023

Registered at 4342 15TH AVE S STE 105, FARGO, ND 581031125 (Tel: 7019369495)

📍
Updated Business Mailing Address July 17, 2023

Registered at 4342 15TH AVE S STE 105, FARGO, ND 581031125 (Tel: 7019369495)

NPI Profile Active August 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 17, 2018

Registered at 1000 ELBEL RD APT 306, SCHERTZ, TX 781542043 (Tel: 2108961388)

📍
Updated Business Mailing Address August 17, 2018

Registered at 1000 ELBEL RD APT 306, SCHERTZ, TX 781542043 (Tel: 2108961388)

👤
Provider Name / Credentials Updated August 17, 2018

Recorded as LISA SAMUELSON, OTR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2018

Occupational Therapist (License #114432 in TX)

🟢
Initial NPI Registration & Enumeration August 17, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730669995
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2018
Last Update: July 17, 2023
Sole Proprietor: Yes

Mailing Address

4342 15th Ave S Ste 105

Fargo, ND 581031125

Phone: 7019369495

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.