Active NPI
Bethany Fleischman
- Occupational Therapist
- Saint Louis Park, MN
National Provider Identifier
1184043879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 104649
- Practice address
- 7900 W 28TH St
Saint Louis Park, MN 55426-3011 - Phone
- (952) 920-8380
- NPI assigned
- Apr 10, 2014
- 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 | 104649 | MN | Primary |
Addresses
Primary practice location
7900 W 28TH St
Saint Louis Park, MN 55426-3011
Mailing address
7400 Oak Park Village Dr
#6
Saint Louis Park, MN 55426-4195
Phone (715) 216-0333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104649 | MN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397088000000",
"number": "1184043879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 OAK PARK VILLAGE DR",
"address_2": "#6",
"city": "SAINT LOUIS PARK",
"state": "MN",
"postal_code": "554264195",
"telephone_number": "715-216-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 W 28TH ST",
"city": "SAINT LOUIS PARK",
"state": "MN",
"postal_code": "554263011",
"telephone_number": "952-920-8380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEISCHMAN",
"first_name": "BETHANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-10",
"last_updated": "2014-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "104649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.