Bailey Allen, OTR/L

Individual provider Active NPI Occupational Therapist · Burnsville, MN

NPI 1104515063 · NPPES record last updated May 4, 2023

Key facts

NPI
1104515063
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
107112 (MN)
Practice address
150 Cobblestone LN
Burnsville, MN 55337-4578
Phone
(952) 460-4947
NPI assigned
May 4, 2023
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
107112MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Past
since May 7, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 107112 MN Yes

Addresses

Primary practice location

150 Cobblestone LN
Burnsville, MN 55337-4578

Mailing address

2025 Montreal Ave Apt 3
Saint Paul, MN 55116-2074

Other providers in Burnsville, MN

All providers in Burnsville, MN · Occupational Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.