Eiko Mizushima Integrative OT LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

EIKO MIZUSHIMA INTEGRATIVE OT LLC

Practice address

3528 14TH Ave S
Minneapolis, MN 55407-2223

Phone

(608) 577-1385

NPI assigned

Jan 24, 2023

Last updated

Jan 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eiko Mizushima, OTR/LNPI 1598474439

Title

Owner

Phone

(608) 577-1385

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eiko Elise Griffin Mizushima

  • Mental Health Occupational Therapist
  • Minneapolis, MN
  • NPI 1598474439
  Authorized official Same address or phone

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1083320063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3528 14TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554072223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3528 14TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554072223",
            "telephone_number": "608-577-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EIKO MIZUSHIMA INTEGRATIVE OT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "MIZUSHIMA",
        "authorized_official_first_name": "EIKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-577-1385",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith E Eidman, DO
• Siri TS Eidsmo
• Erin Eidsness, MD
• Andrea Eiesland, OTR
• Mark H Eikenberry, M.D.
• Brady D Eilertson, APRN, CRNA
• Tiffany Eininger
• Angela M Eischens, LMFT
• Todd Louis Eisenberg, M.D.
• Melissa Eisenbraun

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.