Individual provider Active NPI

Elizabeth Harris, OTR/L

  • Occupational Therapist
  • Minneapolis, MN
National Provider Identifier
1235502469
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
105010 Issued in MN
Practice address
5637 Brooklyn Blvd
Minneapolis, MN 55429-3061
Phone
(763) 432-3926
NPI assigned
Nov 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 105010 MN
Occupational Therapist 225X00000X 105010 MN Primary

Addresses

Primary practice location

5637 Brooklyn Blvd
Minneapolis, MN 55429-3061

Mailing address

5637 Brooklyn Blvd
Minneapolis, MN 55429-3061
Phone (763) 432-3926

Other practice location 1

8450 City Centre Dr
Woodbury, MN 55125-5308
Phone (952) 767-4230

Other names 1

  • Ms. Elizabeth Harris Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
105010MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Helena Autism Therapy Center Current Accepting new patients

Locations

5301 E River Rd
Ste 110
Fridley, MN 55421
Phone (763) 432-3926

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1235502469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5637 BROOKLYN BLVD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554293061",
            "telephone_number": "763-432-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5637 BROOKLYN BLVD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554293061",
            "telephone_number": "763-432-3926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8450 City Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551255308",
            "country_code": "US",
            "telephone_number": "952-767-4230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-10",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "105010",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "105010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HARRIS",
            "prefix": "MS.",
            "credential": "MOT, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.