Individual provider Active NPI

Emily Enge

  • Occupational Therapist
  • Mankato, MN
National Provider Identifier
1083350557
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
107950 Issued in MN
Practice address
150 Saint Andrews CT Ste 310
Mankato, MN 56001-8805
Phone
(507) 625-1811
Fax
(507) 625-4754
NPI assigned
May 9, 2022
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Occupational Therapist 225X00000X 107950 MN Primary

Addresses

Primary practice location

150 Saint Andrews CT Ste 310
Mankato, MN 56001-8805

Mailing address

PO Box 8674
Mankato, MN 56002-8674
Phone (507) 625-1811

Other practice location 1

1421 Premier Dr
Mankato, MN 56001-6076
Phone (507) 625-1811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251022000469 MN Practitioner - Occupational Therapist in Private Practice 1052809035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Midwestern University College of Dental Medicine, Glendale, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1421 Premier Dr
Mankato, MN 56001-6076

PO Box
Suite 8674
Mankato, MN 56002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107950MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mankato Clinic LTD CurrentSince Nov 1, 2025 Accepting new patients

Locations

1421 Premier Dr
Mankato, MN 56001
Phone (507) 385-4000

150 Saint Andrews Ct
Ste 310
Mankato, MN 56001
Phone (507) 388-5437

Interoperability endpoints

  • Direct secure messaging: emilyenge@mklt.allscriptsdirect.net

Organizations & group practices 1

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": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1083350557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8674",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560028674",
            "telephone_number": "507-625-1811",
            "fax_number": "507-625-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SAINT ANDREWS CT STE 310",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560018805",
            "telephone_number": "507-625-1811",
            "fax_number": "507-625-4754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1421 Premier Dr",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "560016076",
            "country_code": "US",
            "telephone_number": "507-625-1811",
            "fax_number": "507-625-4754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGE",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "107950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.