Bailey Anne Fezler, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

202444 Issued in MN

Practice address

1160 Centre Pointe Dr Ste 7
Mendota Heights, MN 55120-1377

Phone

(952) 401-9359

Fax

(952) 401-9805

NPI assigned

Sep 23, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Holland Center

  • Developmentally Disabled Services Day Training Agency
  • Minnetonka, MN
  • NPI 1467641555
  NPD (past)

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1194376046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 CENTRE POINTE DR STE 7",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201377",
            "telephone_number": "952-401-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 CENTRE POINTE DR STE 7",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201377",
            "telephone_number": "952-401-9359",
            "fax_number": "952-401-9805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14301 Ewing Ave S",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553064885",
            "country_code": "US",
            "telephone_number": "952-746-5350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEZLER",
        "first_name": "BAILEY",
        "middle_name": "ANNE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MN",
            "license": "202444",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MN",
            "license": "202444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Fanning, MA, LPCC
• Fadumo Abdisalam Farah
• Sadio Mohamud Farah
• Salma Ahmed Farah
• Jessy Renee Fastiggi
• Brooke Finney
• Ragan Firnbach
• Suzanne Ward Fischard, DDS
• Emily Asenath Fisk, MA CCC-SLP
• Dylan Christine Fleigle

• Occupational Therapy Assistant in Mendota Heights, MN
• Providers in Mendota Heights, MN by specialty
• Occupational Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.