Individual provider Active NPI

Courtney Ann Suilmann, MED, MOT, OTR/L

  • Occupational Therapist
  • Chaska, MN
National Provider Identifier
1013573724
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
168 Pioneer TRL Ste 235
Chaska, MN 55318-1167
Phone
(952) 856-0844
Fax
(833) 871-8066
NPI assigned
May 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

168 Pioneer TRL Ste 235
Chaska, MN 55318-1167

Mailing address

168 Pioneer TRL Ste 235
Chaska, MN 55318-1167
Phone (952) 856-0844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201020002848 MN Practitioner - Occupational Therapist in Private Practice 1850711433 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Pelvic Health LLC Occupational Therapist Current Accepting new patients
Aegis Group Practice LLC Occupational Therapist Current Accepting new patients
Kid Talk Inc CurrentSince Apr 15, 2021 Accepting new patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Oct 8, 2024 Accepting new patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Oct 8, 2024 Accepting new patients
Kid Talk Inc CurrentSince Apr 15, 2021 Accepting new patients

Locations

168 Pioneer Trl
Chaska, MN 55318
Phone (952) 856-0844

8758 Egan Dr
Savage, MN 55378
Phone (952) 226-2999

1772 Stieger Lake Ln
Victoria, MN 55386
Phone (952) 443-9888

1772 Stieger Lake Ln
Ste 100
Victoria, MN 55386
Phone (952) 443-9888

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1013573724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 PIONEER TRL STE 235",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181167",
            "telephone_number": "952-856-0844",
            "fax_number": "833-871-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 PIONEER TRL STE 235",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181167",
            "telephone_number": "952-856-0844",
            "fax_number": "833-871-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUILMANN",
        "first_name": "COURTNEY",
        "middle_name": "ANN",
        "credential": "MED, MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-17",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chaska, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.