Individual provider Active NPI

Anna Elizabeth Westlund, OTD, OTR/L

  • Occupational Therapist
  • Bloomington, MN
National Provider Identifier
1053159798
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
107524 Issued in MN
Practice address
900 W 94TH St
Bloomington, MN 55420-4206
Phone
(651) 738-9888
NPI assigned
Jul 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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 107524 MN Primary

Addresses

Primary practice location

900 W 94TH St
Bloomington, MN 55420-4206

Mailing address

900 W 94TH St
Bloomington, MN 55420-4206
Phone (651) 738-9888

Other names 1

  • Anna Elizabeth Welch Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241007000477 MN Practitioner - Occupational Therapist in Private Practice 7719418334 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107524MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Achievement Center Inc. Occupational Therapist CurrentSince Jul 7, 2024 Accepting new patients

Locations

900 W 94th St
Bloomington, MN 55420
Phone (952) 885-0418

2101 Wooddale Dr
Ste A
Woodbury, MN 55125
Phone (651) 738-9888

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.

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1053159798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W 94TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554204206",
            "telephone_number": "651-738-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W 94TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554204206",
            "telephone_number": "651-738-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTLUND",
        "first_name": "ANNA",
        "middle_name": "ELIZABETH",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "107524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "WELCH",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.