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

Mrs. Shauna R Nelson, OTR/L, CLT

Individual provider Occupational Therapist · NPI 1003393000

Mrs. Shauna R Nelson, OTR/L, CLT is an Occupational Therapist in Private Practice in Fargo, North Dakota. Qualified in 1992, 34 years ago. Practices with Total Balance Physical Therapy and Fitness, LLC, a 35-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
34
Licensed in
ND
In the registry since
2018
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

1711 Gold Dr S Ste 120
Fargo, ND 58103-6416
Phone: (701) 451-9417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 Harwood Dr S, Fargo, ND 58104-6298 — (701) 541-6621

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 453 (ND)

Record details

NPI number1003393000
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L , CLT
Sole proprietorNo
NPI enumeratedJuly 23, 2018
Last updated in NPPESNovember 2, 2020
Certification dateNovember 2, 2020

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Total Balance Physical Therapy And Fitness, Llc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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