Myria Kirkpatrick, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

201981 Issued in MN

Practice address

800 Boone Ave N
200
Golden Valley, MN 55427-4468

Phone

(763) 417-8888

NPI assigned

Nov 17, 2016

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

State licenses

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1205378528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5913 W 25 1/2 ST",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161717",
            "telephone_number": "612-508-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BOONE AVE N",
            "address_2": "200",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274468",
            "telephone_number": "763-417-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKPATRICK",
        "first_name": "MYRIA",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MN",
            "license": "201981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kindness Healthcare & Women'S Services Inc
• Joshua T King, MD
• Miriam Jean King, PTA
• Richard King
• Rebecca Ann Kirchoff-Knapp, PTA
• Stephanie Klein
• Madeline Klesk, D.C.
• Timothy Scott Klesk, D.C.
• Laura Kleven
• Britney Lynn Klocke, PHARM.D.

• Occupational Therapy Assistant in Golden Valley, MN
• Providers in Golden Valley, 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 Nov 17, 2016; 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.