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NPI 1508596610ActiveIndividual· Occupational Therapist· Minneapolis, MN

Occupational Therapist with Professional Occupational and Physical Therapy, PLLC, practicing in Minneapolis, Minnesota. Medicare paid $10,984 for services to 54 patients in 2024.

Overview

NPI1508596610
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJun 13, 2022
Last updated in NPPESOct 10, 2022
Certified by providerOct 9, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Occupational Therapist Primary225X00000X106864MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Occupational Therapist in Private Practice (MA); Practitioner - Occupational Therapist in Private Practice (NJ)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients54
Services billed485 across 8 procedure codes
Paid by Medicare$10,984

Medicare sources and data years

Education and affiliations

Graduation year2019
Medicare specialtyOccupational Therapist In Private Practice

Medical group

Source: CMS Care Compare

Other occupational therapists in Minneapolis

All 486 occupational therapists in Minneapolis · All occupational therapists in Minnesota