Elene Evyenia Lindberg, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

104914 Issued in MN

Practice address

5710 Baker Rd
Minnetonka, MN 55345-5901

Phone

(952) 767-4200

Fax

(952) 767-4211

NPI assigned

Jul 24, 2015

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 identifiers 1

Other names 1

• Elene Evyenia Knudsen Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Autism Opportunities Foundation

  • Psychologist
  • Minnetonka, MN
  • NPI 1447348172
  Medicare reassignment

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1063897544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 BAKER RD.",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "55345",
            "telephone_number": "952-767-4200",
            "fax_number": "952-767-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 BAKER RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553455901",
            "telephone_number": "952-767-4200",
            "fax_number": "952-767-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDBERG",
        "first_name": "ELENE",
        "middle_name": "EVYENIA",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-24",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "104914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115000",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elene.lindberg@mnautism.org",
            "affiliation": "N",
            "endpointDescription": "elene.lindberg@mnautism.org",
            "address_1": "5710 Baker Rd",
            "city": "Minnetonka",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553455901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELENE",
            "last_name": "KNUDSEN",
            "middle_name": "EVYENIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benjil Lightfoot
• Sarah Reimann Likens
• Tara Liljestrand, NP
• Roger Douglas Lillemoen, MD
• Courtney Lillibridge, MS, CCC-SLP
• Kayla Brin Lindquist, RDN
• Charlotte B Lindsey, FNP-C
• Anna Lindstrom
• Caitlin Anna Lingbeck, DNP
• Sara Ann Linnerooth, PHARMD

• Occupational Therapist in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.