Individual provider Active NPI

Amber Vreeman, OTR

  • Occupational Therapist
  • Brooklyn Park, MN
National Provider Identifier
1073693511
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
102318 Issued in MN
Practice address
10557 W River Rd
Brooklyn Park, MN 55443-1231
Phone
(612) 743-0350
NPI assigned
Oct 17, 2006
Last updated
Nov 30, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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 102318 MN Primary

Addresses

Primary practice location

10557 W River Rd
Brooklyn Park, MN 55443-1231

Mailing address

10557 W River Rd
Brooklyn Park, MN 55443-1231
Phone (612) 743-0350

Other identifiers 2

IdentifierTypeStateIssuer
088405700MedicaidMN
31P35LEOtherMNBCBS PROVIDER ID

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
River's Edge Therap, LLC Past Accepting new patients
Aagesen Chiropractic Clinic PA Occupational Therapist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354233600000",
    "number": "1073693511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10557 W RIVER RD",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431231",
            "telephone_number": "612-743-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10557 W RIVER RD",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431231",
            "telephone_number": "612-743-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VREEMAN",
        "first_name": "AMBER",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "102318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088405700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "31P35LE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.

Verify at the official NPI Registry.