Isabella Kuphal, OTR
Individual provider Active NPI Occupational Therapist · Hutchinson, MN
NPI 1104655422 · NPPES record last updated Aug 2, 2024
Key facts
- NPI
- 1104655422
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 107279 (MN)
- Practice address
- 20288 Highway 15 N Ste 100
Hutchinson, MN 55350-5685 - Phone
- (320) 333-5523
- NPI assigned
- Jul 26, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nystrom and Associates LTD
Practice addresses (Care Compare)
20288 Hwy 15 N
Suite 100
Hutchinson, MN 55350-5685
Phone (320) 587-2326
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240920002458 | MN | Practitioner - Occupational Therapist in Private Practice | 4880135540 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107279 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nystrom & Associates, LTD | Current |
Accepting new patients | |
| Family Support Services Inc. | Past | Accepting new patients |
Locations
1107 Hazeltine Blvd
Ste 370
Chaska, MN 55318
Phone (800) 447-5444
114 Main St N
Ste 201B
Hutchinson, MN 55350
Phone (320) 753-0778
20288 Highway 15 N
Ste 100
Hutchinson, MN 55350
Phone (320) 244-2437
13100 Wayzata Blvd
Ste 200
Minnetonka, MN 55305
Phone (952) 206-2040
1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 107279 | MN | Yes |
Addresses
Primary practice location
20288 Highway 15 N Ste 100
Hutchinson, MN 55350-5685
Mailing address
1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789
Other providers in Hutchinson, MN
- Julie A. Krenik
- Jennifer Kroon Pesavento
- Chelsea Krzmarzick
- Kent R Kuball
- James Kuehl
- Lakeside Mental Health
- Charles Lamp
- Linda S Landon
- Daniel Lang
- Andrew John Larson
All providers in Hutchinson, MN · Occupational Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.