Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexis Marie Hanevold, OT

Individual provider Occupational Therapist · NPI 1841849320

Alexis Marie Hanevold, OT is an Occupational Therapist in Private Practice in East Grand Forks, Minnesota. Qualified in 2019, 7 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group and accepts Medicare assignment. Licensed in Minnesota and North Dakota.

Years since qualifying
7
Licensed in
MN, ND
In the registry since
2019
Specialties on file
2
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

625 Demers Ave
East Grand Forks, MN 56721-1833
Phone: (218) 773-5858
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 106041 (MN)
Occupational Therapist Taxonomy 225X00000X · Licence 1738 (ND)

Record details

NPI number1841849320
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedSeptember 8, 2019
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in East Grand Forks