Individual provider Active NPI

Andrea Beno, OTR/L

  • Occupational Therapist
  • New Prague, MN
National Provider Identifier
1083686851
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
102007 Issued in MN
Practice address
314 Main St E
Suite 3
New Prague, MN 56071-2448
Phone
(952) 758-5775
Fax
(952) 758-5778
NPI assigned
Feb 6, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 102007 MN Primary

Addresses

Primary practice location

314 Main St E
Suite 3
New Prague, MN 56071-2448

Mailing address

8830 Normandale Blvd
Bloomington, MN 55437-1051
Phone (952) 758-5775

Other identifiers 3

IdentifierTypeStateIssuer
7616187OtherMNMN AETNA NUMBER
HP43201OtherFMMN HEALTHPARTNERS NUMBER
685S7MAOtherMNMN BCBS NUMBER

Other names 1

  • Andrea Malecha Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083686851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8830 NORMANDALE BLVD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554371051",
            "telephone_number": "952-758-5775",
            "fax_number": "952-758-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 MAIN ST E",
            "address_2": "SUITE 3",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560712448",
            "telephone_number": "952-758-5775",
            "fax_number": "952-758-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENO",
        "first_name": "ANDREA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "102007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN AETNA NUMBER",
            "identifier": "7616187",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN HEALTHPARTNERS NUMBER",
            "identifier": "HP43201",
            "state": "FM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BCBS NUMBER",
            "identifier": "685S7MA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "MALECHA",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Prague, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.