Kristin Suzanne Soderholm, OTR
NPI 1487931622ActiveIndividual· Occupational Therapist· Monticello, MN
Occupational Therapist (OTR) with Optage Inc, practicing in Monticello, Minnesota. Medicare paid $4,147 for services to 18 patients in 2024.
Overview
| NPI | 1487931622 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTR |
| Sole proprietor | No |
| NPI issued | Nov 15, 2011 |
| Last updated in NPPES | Nov 15, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 101509 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 | 18 |
|---|---|
| Services billed | 182 across 6 procedure codes |
| Paid by Medicare | $4,147 |
Education and affiliations
| Graduation year | 1996 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Optage IncSaint Paul, MN · 59 clinicians
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