Kathleen Thomason, OTR/L

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

104723 Issued in MN

Practice address

3401 E Medicine Lake Blvd
Plymouth, MN 55441-2307

Phone

(763) 559-3123

Fax

(763) 559-3667

NPI assigned

Dec 23, 2014

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

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Urban Speech & Occupational Therapy

  • Speech-Language Pathologist
  • Eden Prairie, MN
  • NPI 1689305740
  Medicare reassignment NPD

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1215325360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 W MAIN ST",
            "city": "BELLE PLAINE",
            "state": "MN",
            "postal_code": "560111224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 E MEDICINE LAKE BLVD",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412307",
            "telephone_number": "763-559-3123",
            "fax_number": "763-559-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMASON",
        "first_name": "KATHLEEN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-23",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "MN",
            "license": "104723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan O Theisen, LADC, LPCC
• Lisa Thelen-Bachmeier, RPH
• Therapy Junction
• Connor J Thiets, PA-C
• Gail Ann Thoen, PH.D.
• Eric Michael Thompson, MD
• Ian Joseph Thompson, CRNA
• Nawal Therese Thompson
• Schuyler W Thompson
• Sheri Thompson

• Gerontology Occupational Therapist in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Gerontology Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.