IndividualActive
Shea Brogren, OTR
NPI 1578979241 · Mental Health Occupational Therapist · West Fargo, ND
Provider details
- NPI number
- 1578979241
- Entity type
- Individual
- Primary specialty
- Mental Health Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- No
- License
- 1351 (ND)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
102 W Beaton Dr Ste 105
West Fargo, ND 58078
Phone: (701) 261-4643
Fax: (701) 540-9044
Street-level locationGet directions
Mailing address
3507 Evergreen Rd N
Fargo, ND 58102-1218
Additional practice locations (2)
- 6301 19th Ave NwMinot, ND 58703-8899Phone: (701) 857-4232Fax: (701) 852-1190
- 6301 19th Ave NwMinot, ND 58703-8899Phone: (701) 857-4232Fax: (701) 852-1190
Registry dates
- Enumerated
- 2014-07-02
- Last updated
- 2018-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.