Ashley Rose Beckman, OTR/L

Individual provider Active NPI Occupational Therapist · Waconia, MN

NPI 1194469676 · NPPES record last updated Apr 21, 2022

Key facts

NPI
1194469676
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
106754 (MN)
Practice address
9346 Oak Ave
Waconia, MN 55387-9422
Phone
(952) 223-2506
NPI assigned
Apr 21, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220523001332 MN Practitioner - Occupational Therapist in Private Practice 1951788421 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
106754MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnydays Therapy Inc Occupational Therapist Current
since May 10, 2022
Accepting new patients

Locations

9346 Oak Ave
Waconia, MN 55387
Phone (952) 442-5812

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 106754 MN Yes

Addresses

Primary practice location

9346 Oak Ave
Waconia, MN 55387-9422

Mailing address

9346 Oak Ave
Waconia, MN 55387-9422

Other providers in Waconia, MN

All providers in Waconia, MN · Occupational Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.