Active NPI
Stephanie Nicole Cameron
- Physical Rehabilitation Occupational Therapist
- Edina, MN
National Provider Identifier
1023967890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 105454
- Practice address
- 6500 France Ave S
Edina, MN 55435-1700 - Phone
- (612) 504-6402
- NPI assigned
- Jan 26, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 105454 | MN | Primary |
Addresses
Primary practice location
6500 France Ave S
Edina, MN 55435-1700
Mailing address
1583 Edgebrook LN
Carver, MN 55315-4589
Phone (320) 583-1261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- University of Minnesota Medical School, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2830 100TH St
Suite 100
Urbandale, IA 50322-3859
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105454 | MN | MD | Physical Rehabilitation Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Stone Therapy Inc. | Current | Accepting new patients |
Locations
2830 100th St
Ste 100
Urbandale, IA 50322
Phone (515) 537-4770
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Urbandale, IA
- NPI 1932797297
MN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769385600000",
"number": "1023967890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1583 EDGEBROOK LN",
"city": "CARVER",
"state": "MN",
"postal_code": "553154589",
"telephone_number": "320-583-1261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 FRANCE AVE S",
"city": "EDINA",
"state": "MN",
"postal_code": "554351700",
"telephone_number": "612-504-6402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMERON",
"first_name": "STEPHANIE",
"middle_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-26",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "MN",
"license": "105454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.