Active NPI
Teresa Millner
- Occupational Therapist
- Oakdale, MN
National Provider Identifier
1033936489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 102366
- Practice address
- 6803 15TH Street CT N
Oakdale, MN 55128-5807 - Phone
- (651) 336-8515
- NPI assigned
- Sep 25, 2024
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 102366 | MN | Primary |
Addresses
Primary practice location
6803 15TH Street CT N
Oakdale, MN 55128-5807
Mailing address
6803 15TH Street CT N
Oakdale, MN 55128-5807
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1033936489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6803 15TH STREET CT N",
"city": "OAKDALE",
"state": "MN",
"postal_code": "551285807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6803 15TH STREET CT N",
"city": "OAKDALE",
"state": "MN",
"postal_code": "551285807",
"telephone_number": "651-336-8515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLNER",
"first_name": "TERESA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-25",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "MN",
"license": "102366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakdale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.