Sara Pederson, MA OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Practice address

11200 93Rd Ave N
Maple Grove, MN 55369-3669

Phone

(763) 344-8604

NPI assigned

Apr 27, 2026

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1184560765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12338 350TH ST",
            "city": "ONAMIA",
            "state": "MN",
            "postal_code": "563593214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 93RD AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553693669",
            "telephone_number": "763-344-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSON",
        "first_name": "SARA",
        "credential": "MA OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PDB, DDS, PA
• PDG, P.a.
• Amber Lea Pearson, DDS
• Maisa Alves Pebbles, CNP
• Joan D. Pechauer, LMFT
• Jennifer Ann Pelkey, OTR/L
• Michelle K. Pemble-Frazey, PHD
• Christine I Pena, L.M.F.T.
• Leighton Michael Penn
• Nina Rachel Perdue, M.D.

• Pediatric Occupational Therapist in Maple Grove, MN
• Providers in Maple Grove, 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 Apr 27, 2026; 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.