Individual provider Active NPI

Reed Allen Kotz, OTR/L

  • Occupational Therapist
  • Bloomington, MN
National Provider Identifier
1205415569
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
106445 Issued in MN
Practice address
900 W 94TH St
Bloomington, MN 55420-4206
Phone
(952) 885-0418
Fax
(952) 885-0173
NPI assigned
Apr 5, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 106445 MN Primary

Addresses

Primary practice location

900 W 94TH St
Bloomington, MN 55420-4206

Mailing address

2101 Wooddale Dr Ste a
Woodbury, MN 55125-2933
Phone (651) 738-9888

Other practice location 1

2101 Wooddale Dr Ste A
Woodbury, MN 55125-2933
Phone (651) 738-9888

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

LicenseStateTypeSpecialty
106445MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Therapy Place PastSince Apr 5, 2021 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1205415569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 WOODDALE DR STE A",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252933",
            "telephone_number": "651-738-9888",
            "fax_number": "651-738-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W 94TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554204206",
            "telephone_number": "952-885-0418",
            "fax_number": "952-885-0173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Wooddale Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551252933",
            "country_code": "US",
            "telephone_number": "651-738-9888",
            "fax_number": "651-738-9889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTZ",
        "first_name": "REED",
        "middle_name": "ALLEN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "106445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.