=====================================================
General NPI Number Information
=====================================================
NPI Number | 1316647258
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | 583 THERAPY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/08/2023
-----------------------------------------------------
Last Update Date | 08/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 213 5TH ST NE
-----------------------------------------------------
City | DEVILS LAKE
-----------------------------------------------------
State | ND
-----------------------------------------------------
Zip | 58301-2425
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 701-662-2216
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 213 5TH ST NE
-----------------------------------------------------
City | DEVILS LAKE
-----------------------------------------------------
State | ND
-----------------------------------------------------
Zip | 58301-2425
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 701-662-2216
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OCCUPATIONAL THERAPIST
-----------------------------------------------------
Name | EMILEE LUEHRING
-----------------------------------------------------
Credential | OTR/L, CLT
-----------------------------------------------------
Telephone | 701-351-6274
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QR0400X
-----------------------------------------------------
Taxonomy Name | Rehabilitation Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------