Abbe Kaiser

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

106411 Issued in MN

Practice address

1415 Madison Ave
Detroit Lakes, MN 56501-4542

Phone

(218) 847-4486

NPI assigned

Mar 1, 2022

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

Other names 1

• Abbe Hendrickx Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1063168862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49667 COUNTY HIGHWAY 67",
            "city": "NEW YORK MILLS",
            "state": "MN",
            "postal_code": "565679408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 MADISON AVE",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565014542",
            "telephone_number": "218-847-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISER",
        "first_name": "ABBE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MN",
            "license": "106411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBE",
            "last_name": "HENDRICKX",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Ross Jordan, D.D.S.
• Journey Together Counseling
• Jenny Joy
• Michael Reuben Judd, PTA
• Douglas Kaasa, R.PH.
• Tess Kalberer, OTR/L
• Carl N. Kaster, MD
• Julie A Kauffman, RPH
• Tracy L Keller, PT
• Joanna Kellin

• Physical Rehabilitation Occupational Therapist in Detroit Lakes, MN
• Providers in Detroit Lakes, MN by specialty
• Physical Rehabilitation Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.