Individual provider Active NPI

Kara Roberts, MOTR/L

  • Occupational Therapist
  • Minneapolis, MN
National Provider Identifier
1205474863
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
105018 Issued in MN
Practice address
3390 Annapolis LN N Ste B
Minneapolis, MN 55447-5379
Phone
(320) 305-4121
NPI assigned
Dec 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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 105018 MN Primary

Addresses

Primary practice location

3390 Annapolis LN N Ste B
Minneapolis, MN 55447-5379

Mailing address

3390 Annapolis LN N Ste B
Minneapolis, MN 55447-5379
Phone (320) 305-4121

Other practice location 1

11901 Central Park Way Unit 2220
Maple Grove, MN 55369-2659
Phone (320) 305-4121

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

NPI Registry JSON

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1205474863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 ANNAPOLIS LN N STE B",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554475379",
            "telephone_number": "320-305-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 ANNAPOLIS LN N STE B",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554475379",
            "telephone_number": "320-305-4121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11901 Central Park Way Unit 2220",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553692659",
            "country_code": "US",
            "telephone_number": "320-305-4121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KARA",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "105018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.