Kaitlyn Nicole Bozek

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2506 Issued in MN

Practice address

5501 Feltl Rd
Minnetonka, MN 55343-3944

Phone

(952) 746-5350

NPI assigned

Jul 29, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1235968314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14301 EWING AVE S",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553064885",
            "telephone_number": "952-746-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 FELTL RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553433944",
            "telephone_number": "952-746-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZEK",
        "first_name": "KAITLYN",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MN",
            "license": "2506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Bowen, NP
• Natalie A Bowker, L.M.F.T.
• Helen Claire Boy, LICSW LADC
• Jody Boyd, AT
• Sylvia B Boye-Doe, DNP, CNP
• Jolliffee Tanyareah Braddy, FNP-BC
• Kimberly Kay Brands, MS, FNP-C
• David Brandsrud, PMHNP-BC, CNP
• Holly Lynn Ugomma Brannan, PSYD
• Kristin L Brastad, PT

• Occupational Therapy Assistant in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Occupational Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.

Verify at the official NPI Registry.