Marlo Rebecca McGregor-Michael
Individual provider Active NPI Occupational Therapy Assistant · Loretto, MN
NPI 1265300255 · NPPES record last updated Oct 29, 2025
Key facts
- NPI
- 1265300255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 202419 (MN)
- Practice address
- 5265 Woodland TRL
Loretto, MN 55357-9746 - Phone
- (763) 498-0007
- NPI assigned
- Oct 29, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202419 | MN | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 202419 | MN | Yes |
Addresses
Primary practice location
5265 Woodland TRL
Loretto, MN 55357-9746
Mailing address
5265 Woodland TRL
Loretto, MN 55357-9746
Phone (763) 498-0007
Other providers in Loretto, MN
- Megan Grunerud
- Angie Hyde
- Brian William Kolling
- Ricki Gene Krueger
- Peggy Martin
- Kaija Michelle Muhich
- Grace Palubicki
- Richard C Axel, DDS, PA
- Jerry Jack Robb
- Bee S. Soung
All providers in Loretto, MN · Occupational Therapy Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.