Individual provider Active NPI

Emma Kupferschmidt

  • Pediatric Occupational Therapist
  • New Hope, MN
National Provider Identifier
1134069040
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
107819 Issued in MN
Practice address
4900 Highway 169 N Ste 100
New Hope, MN 55428-4044
Phone
(612) 877-8800
NPI assigned
Mar 30, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 107819 MN Primary

Addresses

Primary practice location

4900 Highway 169 N Ste 100
New Hope, MN 55428-4044

Mailing address

4765 Upland LN N
Minneapolis, MN 55446-2035
Phone (715) 419-3573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260409001588 MN Practitioner - Occupational Therapist in Private Practice 2163997966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4900 Hwy 169 N
Suite 100
New Hope, MN 55428-4044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107819MNMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Olea Therapy Pediatrics CurrentSince Apr 1, 2026 Accepting new patients

Locations

4900 Highway 169 N
Ste 100
New Hope, MN 55428
Phone (612) 877-8800

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1134069040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4765 UPLAND LN N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554462035",
            "telephone_number": "715-419-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 HIGHWAY 169 N STE 100",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554284044",
            "telephone_number": "612-877-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPFERSCHMIDT",
        "first_name": "EMMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "107819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hope, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.