Individual provider Active NPI

Aspen Stebbins

  • Pediatric Occupational Therapist
  • New Hope, MN
National Provider Identifier
1225537467
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
105580 Issued in MN
Practice address
4900 Highway 169 N Ste 100
New Hope, MN 55428-4044
Phone
(612) 877-8800
Fax
(612) 877-8801
NPI assigned
Feb 2, 2018
Last updated
Oct 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Pediatric Occupational Therapist 225XP0200X 105580 MN Primary

Addresses

Primary practice location

4900 Highway 169 N Ste 100
New Hope, MN 55428-4044

Mailing address

434 Hayward Ave N
Oakdale, MN 55128-5379

Other practice location 1

434 Hayward Ave N
Oakdale, MN 55128
Phone (651) 739-2300

Other identifiers 1

IdentifierTypeStateIssuer
00159813100OtherU CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180316001921 MN Practitioner - Occupational Therapist in Private Practice 7911269642 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105580MNMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olea Therapy Pediatrics CurrentSince Aug 1, 2021 Accepting new patients
Center for Speech, Language, and Learning, Inc. PastSince Aug 29, 2018 Accepting new patients

Locations

4900 Highway 169 N
Ste 100
New Hope, MN 55428
Phone (612) 877-8800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1225537467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 HAYWARD AVE N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 HIGHWAY 169 N STE 100",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554284044",
            "telephone_number": "612-877-8800",
            "fax_number": "612-877-8801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "434 Hayward Ave N",
            "address_purpose": "LOCATION",
            "city": "Oakdale",
            "state": "MN",
            "postal_code": "55128",
            "country_code": "US",
            "telephone_number": "651-739-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEBBINS",
        "first_name": "ASPEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "105580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U CARE",
            "identifier": "00159813100",
            "state": null
        }
    ],
    "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 Oct 27, 2021; 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.