Jennifer Alders

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

101521 Issued in MN

Practice address

6936 Garland LN N
Maple Grove, MN 55311-4642

Phone

(763) 416-9313

Fax

(763) 416-4530

NPI assigned

Jun 22, 2016

Last updated

Jun 22, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hands Hooves and Hearts Therapeutic Services LLC

  • Pediatric Occupational Therapist
  • Ramsey, MN
  • NPI 1891332599

  Pediatrics

  Medicare reassignment NPD Authorized official
• Kidspeak LTD.

  • Speech-Language Pathologist
  • Minnetonka, MN
  • NPI 1336205004
  NPD (past)

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1053762955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6936 GARLAND LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553114642",
            "telephone_number": "763-416-9313",
            "fax_number": "763-416-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6936 GARLAND LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553114642",
            "telephone_number": "763-416-9313",
            "fax_number": "763-416-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDERS",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "101521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Al Shifa Dentistry PA
• Lara Hayel Al-Ejeilat, MD
• Jordan Lynn Alabase, LGSW
• Alb Dental Studio PLLC (Grove Dentist)
• Shawn Michael Alderman, MD
• Chelsea Alger, PTA
• Bushra Irad Ali
• Ella Allanson
• Allergy and Asthma Care, PA
• Sydnee Allie-Lindquist

• Pediatric Occupational Therapist in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Pediatric Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.