Active NPI
Abrielle Jeanne Blum, OTR/L
- Occupational Therapist
- Minneapolis, MN
National Provider Identifier
1053600718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 104034
- Practice address
- 1500 Lasalle Ave
Apt 414
Minneapolis, MN 55403-3468 - Phone
- (920) 256-9145
- NPI assigned
- Apr 4, 2011
- 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 | 104034 | MN | Primary |
Addresses
Primary practice location
1500 Lasalle Ave
Apt 414
Minneapolis, MN 55403-3468
Mailing address
1500 Lasalle Ave
Apt 414
Minneapolis, MN 55403-3468
Phone (920) 256-9145
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104034 | Other | MN | STATE OF MINNESOTA LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104034 | MN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331683200000",
"number": "1053600718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 LASALLE AVE",
"address_2": "APT 414",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554033468",
"telephone_number": "920-256-9145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 LASALLE AVE",
"address_2": "APT 414",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554033468",
"telephone_number": "920-256-9145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUM",
"first_name": "ABRIELLE",
"middle_name": "JEANNE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-04",
"last_updated": "2012-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "104034",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MINNESOTA LICENSE",
"identifier": "104034",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.