Active NPI
Karah Stangret
- Occupational Therapist
- New Hope, MN
National Provider Identifier
1215765367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 107509
- Practice address
- 5430 Boone Ave N
New Hope, MN 55428-3615 - Phone
- (763) 592-2600
- NPI assigned
- Jul 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 107509 | MN | Primary |
Addresses
Primary practice location
5430 Boone Ave N
New Hope, MN 55428-3615
Mailing address
2770 91St Ave NE
Blaine, MN 55449-5642
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
| License | State | Type | Specialty |
|---|---|---|---|
| 107509 | MN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1215765367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2770 91ST AVE NE",
"city": "BLAINE",
"state": "MN",
"postal_code": "554495642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5430 BOONE AVE N",
"city": "NEW HOPE",
"state": "MN",
"postal_code": "554283615",
"telephone_number": "763-592-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANGRET",
"first_name": "KARAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-22",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "107509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Hope, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.