Ellen Carol Goebel, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

106450 Issued in MN

Practice address

5232 Kyler Ave NE
Albertville, MN 55301-4634

Phone

(952) 223-2506

NPI assigned

Feb 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ellen Carol Swedzinski Former name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kid Talk Inc

  • Speech-Language Pathologist
  • Victoria, MN
  • NPI 1245315027

  MN

  Medicare reassignment NPD
• Kid Talk Inc

  • Hearing and Speech Clinic/Center
  • Prior Lake, MN
  • NPI 1508146275
  NPD

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1265026595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9346 OAK AVE",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553879422",
            "telephone_number": "952-223-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5232 KYLER AVE NE",
            "city": "ALBERTVILLE",
            "state": "MN",
            "postal_code": "553014634",
            "telephone_number": "952-223-2506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15265 Minnetonka Blvd",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553451510",
            "country_code": "US",
            "telephone_number": "952-223-2506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOEBEL",
        "first_name": "ELLEN",
        "middle_name": "CAROL",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2024-02-28",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "106450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCOT",
            "identifier": "442937",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "SWEDZINSKI",
            "middle_name": "CAROL",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Breanna Figueroa
• Michelle Ann Fouquette, MA, LMFT
• Natalia Garrido
• Shanda Gwen Gaunt, MS CCC/SLP
• Amy Michelle Goblirsch, RDN
• Mikaela Groen
• Nathania Kathleen Hammel, D.O.
• Hart Family Orthodontics PLLC
• Rachel Hart, DDS
• Lori Hunt

• All providers in Albertville, MN
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.