Wendy Marie Aberwald
Individual provider Active NPI Occupational Therapist · Brooklyn Park, MN
NPI 1124864632 · NPPES record last updated Jul 3, 2024
Key facts
- NPI
- 1124864632
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 100840 (MN)
- Practice address
- 9751 Regent Ave N
Brooklyn Park, MN 55443-1402 - Phone
- (763) 315-5340
- NPI assigned
- Jul 3, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ascend Rehab LLC
Practice addresses (Care Compare)
Saint Louis Park, MN 55416
Phone (952) 283-2206
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241004000903 | MN | Practitioner - Occupational Therapist in Private Practice | 1355872094 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100840 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascend Rehab, LLC | Current |
Accepting new patients | |
| Saint Therese of Oxbow Lake, LLC | Past |
Accepting new patients |
Locations
1660 Highway 100 S
Ste 103
St Louis Park, MN 55416
Phone (952) 283-2206
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 100840 | MN | Yes |
Addresses
Primary practice location
9751 Regent Ave N
Brooklyn Park, MN 55443-1402
Mailing address
1660 Highway 100 S Ste 103
St Louis Park, MN 55416-1599
Phone (763) 531-5039
Other practice location 1
7555 Bailey Rd
Woodbury, MN 55129-9610
Phone (651) 209-9170
Other providers in Brooklyn Park, MN
- Hodan Abdi
- Kowsar Abdi
- Khadija Abdihamid Abdille
- Abdirahim Abdinasir
- Maryan Abdukadir
- Ability Homes Inc
- Aboveboard Transportation, LLC
- Tony Abraham
- Faiza Abshir
- Kowthar A Abshir
All providers in Brooklyn Park, 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 Jul 3, 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.