Kelsey Marie Danzeisen Abraham, OT

Individual provider Active NPI Occupational Therapist · Shakopee, MN

NPI 1124359591 · NPPES record last updated Jun 22, 2026

Key facts

NPI
1124359591
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
103835 (MN)
Practice address
1880 Independence Dr
Shakopee, MN 55379-2031
Phone
(952) 239-1882
NPI assigned
Jan 25, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 26

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.

View all 26

Medicare Care Compare profile

Specialty
Occupational Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aegis Group Practice LLC (399 clinicians)

Practice addresses (Care Compare)

3120 N Chestnut St
Chaska, MN 55318-3063
Phone (952) 221-1532

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250730002284 MN Practitioner - Occupational Therapist in Private Practice 3779090022 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Occupational Therapist Current
since May 28, 2025
Accepting new patients
Aegis Group Practice LLC Occupational Therapist Current
since May 28, 2025
Accepting new patients
Aegis Group Practice LLC Occupational Therapist Current Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 103835 MN Yes

Addresses

Primary practice location

1880 Independence Dr
Shakopee, MN 55379-2031

Mailing address

1880 Independence Dr
Shakopee, MN 55379-2031
Phone (952) 239-1882

Other practice location 1

3120 N Chestnut St
Chaska, MN 55318-3063
Phone (952) 221-1532

Other providers in Shakopee, MN

All providers in Shakopee, MN · Occupational Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.