Impact Occupational Therapy & Consulting

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

IMPACT OCCUPATIONAL THERAPY & CONSULTING

Practice address

8101 Normandale Lake Blvd Unit 205
Bloomington, MN 55437-4105

Phone

(240) 535-5258

NPI assigned

May 2, 2025

Last updated

May 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nponda Nadjombe, OTNPI 1154004109

Title

Owner

Phone

(240) 535-5258

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nponda Solange Nadjombe

  • Occupational Therapist
  • Bloomington, MN
  • NPI 1154004109
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1746144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1225827710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 NORMANDALE LAKE BLVD UNIT 205",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554374105",
            "telephone_number": "240-535-5258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 NORMANDALE LAKE BLVD UNIT 205",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554374105",
            "telephone_number": "240-535-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT OCCUPATIONAL THERAPY & CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "NADJOMBE",
        "authorized_official_first_name": "NPONDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-535-5258",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.