Emily Kathryn Brovold

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

103742 Issued in MN

Practice address

100 Cobblestone LN
Burnsville, MN 55337-4578

Phone

(952) 953-5364

NPI assigned

Jun 16, 2009

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292803200000",
    "number": "1164659264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 9TH AVE SE",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550216302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COBBLESTONE LN",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374578",
            "telephone_number": "952-953-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROVOLD",
        "first_name": "EMILY",
        "middle_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2010-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "103742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Colt Brimer
• Rachael Britton, MA
• Sydney Brock
• Joshua Daniel Brogan, MD
• Michelle A Brouillette, PHD, LP
• Aaliyah Brown
• Alaina Brown, MATRG, NREMT
• Dori C. Brown, MPT
• Hilary Taylor Brown, MSW, LICSW
• John R Brown, PT

• Pediatric Occupational Therapist in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Pediatric Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.