Healthcare Provider Details

I. General information

NPI: 1255586319
Provider Name (Legal Business Name): ANNE M TOY OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2008
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2080 36TH AVE SW STE 110
MINOT ND
58701-7597
US

IV. Provider business mailing address

2625 N 19TH ST
BISMARCK ND
58503-0574
US

V. Phone/Fax

Practice location:
  • Phone: 701-222-3175
  • Fax: 701-222-3186
Mailing address:
  • Phone: 701-222-3175
  • Fax: 701-222-3186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number103057
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number689
License Number StateND

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1495221
Identifier TypeMEDICAID
Identifier StateND
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: