Provider Demographics
NPI:1932430642
Name:WOLFF, GERI (OTR/L)
Entity Type:Individual
Prefix:
First Name:GERI
Middle Name:
Last Name:WOLFF
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:GERI
Other - Middle Name:
Other - Last Name:TOSSETH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:PO BOX 160
Mailing Address - Street 2:
Mailing Address - City:BISMARK
Mailing Address - State:ND
Mailing Address - Zip Code:58502-0160
Mailing Address - Country:US
Mailing Address - Phone:701-595-1010
Mailing Address - Fax:
Practice Address - Street 1:705 E MAIN AVE
Practice Address - Street 2:SUITE W
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-4525
Practice Address - Country:US
Practice Address - Phone:701-595-1010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-19
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1108225X00000X, 225XL0004X, 225XP0200X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XL0004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistLow Vision
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND1932430642OtherMEDICARE NPI
NDN716052OtherMEDICARE PTAN