Individual provider Active NPI

Anna Green, OTR/L

  • Occupational Therapist
  • New Hope, MN
National Provider Identifier
1033763909
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
105745 Issued in MN
Practice address
9220 Bass Lake Rd Ste 305
New Hope, MN 55428-3115
Phone
(651) 212-5104
Fax
(855) 828-9067
NPI assigned
Jul 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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 105745 MN Primary

Addresses

Primary practice location

9220 Bass Lake Rd Ste 305
New Hope, MN 55428-3115

Mailing address

9220 Bass Lake Rd Ste 305
New Hope, MN 55428-3115
Phone (651) 212-5104

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241001002047 MN Practitioner - Occupational Therapist in Private Practice 9537690599 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dandelion Spirit Psychotherapy, LLC Occupational Therapist CurrentSince Jan 1, 2025 Accepting new patients
Pediatric Autism & Communication Therapy Institute, Inc. CurrentSince Jul 21, 2024 Accepting new patients
St. Francis Regional Medical Center PastSince Aug 1, 2019 Accepting new patients

Locations

3459 Washington Dr
Ste 102
Eagan, MN 55122
Phone (651) 212-5104

1014 Mainstreet
Hopkins, MN 55343
Phone (952) 224-0707

9220 Bass Lake Rd
Ste 305
New Hope, MN 55428
Phone (651) 212-5104

9220 Bass Lake Rd
Ste 300
New Hope, MN 55428
Phone (651) 212-5104

Organizations & group practices 3

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": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1033763909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 BASS LAKE RD STE 305",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554283115",
            "telephone_number": "651-212-5104",
            "fax_number": "855-828-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 BASS LAKE RD STE 305",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554283115",
            "telephone_number": "651-212-5104",
            "fax_number": "855-828-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ANNA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "105745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hope, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.