Chandler Elise Domian Ommen, OT
NPI 1437624558ActiveIndividual· Occupational Therapist· St Louis Park, MN
Occupational Therapist (OT) with Park Nicollet Clinic, practicing in St Louis Park, Minnesota. Medicare paid $3,539 for services to 17 patients in 2024.
Overview
| NPI | 1437624558 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OT |
| Sole proprietor | No |
| NPI issued | Oct 4, 2018 |
| Last updated in NPPES | Oct 4, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 105801 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 17 |
|---|---|
| Services billed | 164 across 8 procedure codes |
| Paid by Medicare | $3,539 |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Park Nicollet ClinicSt Louis Park, MN · 1,787 clinicians
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