Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Connie A Buck, OTR/L

Individual provider Occupational Therapist · NPI 1477769396

Connie A Buck, OTR/L is an Occupational Therapist in Private Practice in Minot, North Dakota. Qualified in 1998, 28 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
28
Licensed in
ND
In the registry since
2007
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

1591 104th St SE
Minot, ND 58701-2621
Phone: (701) 720-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 691 (ND)

Record details

NPI number1477769396
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedMay 15, 2007
Last updated in NPPESJune 11, 2024
Certification dateJune 11, 2024

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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