Active NPI
Kennedi Foster
- Occupational Therapist
- Elk River, MN
National Provider Identifier
1124876644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 18334 Joplin St NW
Elk River, MN 55330-1773 - Phone
- (612) 230-0308
- Fax
- (833) 615-4259
- NPI assigned
- May 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
18334 Joplin St NW
Elk River, MN 55330-1773
Mailing address
16101 99TH PL N Apt 412
Maple Grove, MN 55369-7733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hands Hooves and Hearts Therapeutic Services LLC | Occupational Therapist | Current | Accepting new patients |
Locations
9457 Highway 10 NW
Ramsey, MN 55303
Phone (612) 230-0308
9457 Highway 10 NW
Ste 130
Ramsey, MN 55303
Phone (612) 270-9979
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.
-
- Pediatric Occupational Therapist
- Ramsey, MN
- NPI 1891332599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1124876644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16101 99TH PL N APT 412",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553697733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18334 JOPLIN ST NW",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553301773",
"telephone_number": "612-230-0308",
"fax_number": "833-615-4259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "KENNEDI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-09",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elk River, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.