Active NPI
Lucinda Mitchell, OTR/L
- Occupational Therapist
- Rochester, MN
National Provider Identifier
1205252004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 103520
- Practice address
- 2328 Crystal Bay CT SW
Rochester, MN 55902-4277 - Phone
- (507) 250-6088
- NPI assigned
- Mar 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 103520 | MN | Primary |
Addresses
Primary practice location
2328 Crystal Bay CT SW
Rochester, MN 55902-4277
Mailing address
2328 Crystal Bay CT SW
Rochester, MN 55902-4277
Phone (507) 250-6088
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103520 | MN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395014400000",
"number": "1205252004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2328 CRYSTAL BAY CT SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559024277",
"telephone_number": "507-250-6088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2328 CRYSTAL BAY CT SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559024277",
"telephone_number": "507-250-6088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "LUCINDA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-17",
"last_updated": "2014-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "103520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.