Individual provider Active NPI

Katie Duff

  • Occupational Therapy Assistant
  • Rosemount, MN
National Provider Identifier
1205400348
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
202593 Issued in MN
Practice address
13320 Butterfly Path
Rosemount, MN 55068-3747
Phone
(651) 233-8644
NPI assigned
May 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 202593 MN Primary

Addresses

Primary practice location

13320 Butterfly Path
Rosemount, MN 55068-3747

Mailing address

534 78TH Ave NE
Spring Lake Park, MN 55432-2700
Phone (651) 233-8644

Other practice location 1

534 78th Ave NE
Spring Lake Park, MN 55432-2700
Phone (651) 233-8644

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
202593MNMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1205400348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 78TH AVE NE",
            "city": "SPRING LAKE PARK",
            "state": "MN",
            "postal_code": "554322700",
            "telephone_number": "651-233-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13320 BUTTERFLY PATH",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550683747",
            "telephone_number": "651-233-8644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "534 78th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Spring Lake Park",
            "state": "MN",
            "postal_code": "554322700",
            "country_code": "US",
            "telephone_number": "651-233-8644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUFF",
        "first_name": "KATIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MN",
            "license": "202593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemount, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.