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

Desiree Wildeman, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1205100203

Desiree Wildeman, OTR/L is an Occupational Therapist in Private Practice in Fargo, North Dakota. Qualified in 2011, 15 years ago. Practices with Orthopedic and Sports Physical Therapy, Inc, a 6-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
15
Licensed in
ND
In the registry since
2012
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

3060 Frontier Way
Fargo, ND 58104-8909
Phone: (701) 232-2340
Fax: (701) 232-2330
Show map & directions

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

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 1221 (ND)

Record details

NPI number1205100203
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMarch 8, 2012
Last updated in NPPESMarch 8, 2012

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Orthopedic And Sports Physical Therapy, Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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