Active NPI
Rose Hansen, OTR
- Occupational Therapist
- Sauk Rapids, MN
National Provider Identifier
1013008069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 100680
- Practice address
- 1115 4TH Ave N
Sauk Rapids, MN 56379-2201 - Phone
- (763) 689-5385
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 100680 | MN | Primary |
Addresses
Primary practice location
1115 4TH Ave N
Sauk Rapids, MN 56379-2201
Mailing address
15762 Riverbend LN
Cold Spring, MN 56320-8724
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6402061 | Other | MN | MEDICA |
| HP45765 | Other | MN | HEALTH PARTNERS |
| 092M8HA | Other | MN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100680 | MN | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1013008069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15762 RIVERBEND LN",
"city": "COLD SPRING",
"state": "MN",
"postal_code": "563208724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 4TH AVE N",
"city": "SAUK RAPIDS",
"state": "MN",
"postal_code": "563792201",
"telephone_number": "763-689-5385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "ROSE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "100680",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6402061",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP45765",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "092M8HA",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sauk Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.