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:BISMARCK
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:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1108225XM0800X, 225X00000X, 225X00000X
225XM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XM0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NDN716052OtherMEDICARE PTAN
ND1932430642OtherMEDICARE NPI