Active NPI
Alison Radunz
- Occupational Therapy Assistant
- Litchfield, MN
National Provider Identifier
1265298913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 202541
- Practice address
- 612 S Sibley Ave
Litchfield, MN 55355-3340 - Phone
- (320) 693-4528
- NPI assigned
- Feb 21, 2024
- Last updated
- Feb 21, 2024
- 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 Therapy Assistant | 224Z00000X | 202541 | MN | Primary |
Addresses
Primary practice location
612 S Sibley Ave
Litchfield, MN 55355-3340
Mailing address
61276 Csah 28
Litchfield, MN 55355-6434
Phone (320) 221-4320
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202541 | MN | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1265298913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61276 CSAH 28",
"city": "LITCHFIELD",
"state": "MN",
"postal_code": "553556434",
"telephone_number": "320-221-4320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 S SIBLEY AVE",
"city": "LITCHFIELD",
"state": "MN",
"postal_code": "553553340",
"telephone_number": "320-693-4528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADUNZ",
"first_name": "ALISON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-21",
"last_updated": "2024-02-21",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MN",
"license": "202541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Litchfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.