Active NPI
Brittany Blomquist
- Occupational Therapist
- Faribault, MN
National Provider Identifier
1235793837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 35 State Ave
Faribault, MN 55021-6368 - Phone
- (507) 497-3790
- NPI assigned
- Apr 29, 2019
- Last updated
- Apr 6, 2020
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
35 State Ave
Faribault, MN 55021-6368
Mailing address
16223 Terracewood Dr
Eden Prairie, MN 55346-2425
Other practice location 1
200 State Ave
Faribault, MN 55021-6339
Phone (507) 334-6451
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586131200000",
"number": "1235793837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16223 TERRACEWOOD DR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553462425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 STATE AVE",
"city": "FARIBAULT",
"state": "MN",
"postal_code": "550216368",
"telephone_number": "507-497-3790"
}
],
"practiceLocations": [
{
"address_1": "200 State Ave",
"address_purpose": "LOCATION",
"city": "Faribault",
"state": "MN",
"postal_code": "550216339",
"country_code": "US",
"telephone_number": "507-334-6451",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLOMQUIST",
"first_name": "BRITTANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-29",
"last_updated": "2020-04-06",
"certification_date": "2020-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Faribault, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.