Provider Demographics
NPI:1407906183
Name:MEINHARDT, SARAH D (OTR)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:D
Last Name:MEINHARDT
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3507 EVERGREEN RD N
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58102-1218
Mailing Address - Country:US
Mailing Address - Phone:701-261-4643
Mailing Address - Fax:701-293-0981
Practice Address - Street 1:102 W BEATON DR STE 105
Practice Address - Street 2:
Practice Address - City:WEST FARGO
Practice Address - State:ND
Practice Address - Zip Code:58078-2653
Practice Address - Country:US
Practice Address - Phone:701-261-4643
Practice Address - Fax:701-540-9044
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN103207225X00000X, 225XP0200X
ND345225X00000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND1455447Medicaid
ND64-03941OtherMEDICA
MN7G316MEOtherBCBSMN PROVIDER NO.
ND0007422496OtherAETNA
ND322441043865OtherPREFERRED ONE
ND64-03941OtherUNITED HEALTH CARE
ND13667OtherBCBSND IDENTIFICATION NO.
ND1455447Medicaid
ND64-03941OtherUNITED HEALTH CARE
ND054371Medicaid