Casey J Snow

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

102845 Issued in MN

Practice address

14300 County Road 62
Minnetonka, MN 55345-6706

Phone

(612) 221-8550

Fax

(763) 389-8951

NPI assigned

Feb 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1154466944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30411 152ND ST",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553718507",
            "telephone_number": "764-389-8951",
            "fax_number": "763-389-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 COUNTY ROAD 62",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553456706",
            "telephone_number": "612-221-8550",
            "fax_number": "763-389-8951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22426 St Francis Blvd",
            "address_purpose": "LOCATION",
            "city": "Anoka",
            "state": "MN",
            "postal_code": "55303",
            "country_code": "US",
            "telephone_number": "763-753-2500",
            "fax_number": "763-753-5999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNOW",
        "first_name": "CASEY",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "102845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.