Active NPI
Mara Ann Brandsoy, OTR
- Occupational Therapist
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 102349
- Practice address
- 1600 University Ave W
Suite 10
Saint Paul, MN 55104-3898 - Phone
- (651) 999-1036
- NPI assigned
- Aug 16, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 102349 | MN | Primary |
Addresses
Primary practice location
1600 University Ave W
Suite 10
Saint Paul, MN 55104-3898
Mailing address
1600 University Ave W
Suite 10
Saint Paul, MN 55104-3898
Phone (651) 999-1036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110811000410 | MN | Practitioner - Occupational Therapist in Private Practice | 3678742418 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regions Hospital | Current | Accepting new patients | |
| Regions Hospital | Current | Accepting new patients |
Organizations & group practices 6
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.
-
- Psychiatric Hospital Unit
- Saint Paul, MN
- NPI 1174168652
-
- Rehabilitation Hospital Unit
- Saint Paul, MN
- NPI 1518995349
-
- General Acute Care Hospital
- Saint Paul, MN
- NPI 1629006457
-
- Ambulatory Surgical Clinic/Center
- Woodbury, MN
- NPI 1649035643
-
- General Acute Care Hospital
- Woodbury, MN
- NPI 1104681105
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regions Hospital
Practice addresses (Care Compare)
295 Phalen Blvd
Saint Paul, MN 55130-2400
Phone (651) 495-6200
401 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 254-7700
435 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 254-8080
640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 221-2164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215040035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 UNIVERSITY AVE W",
"address_2": "SUITE 10",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551043898",
"telephone_number": "651-999-1036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 UNIVERSITY AVE W",
"address_2": "SUITE 10",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551043898",
"telephone_number": "651-999-1036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDSOY",
"first_name": "MARA",
"middle_name": "ANN",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "102349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.