Heidi Sue Cavagnetto, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

102466 Issued in MN

Practice address

705 Lundorff Dr
Sandstone, MN 55072-5099

Phone

(320) 245-2211

Fax

(320) 245-2359

NPI assigned

Dec 11, 2006

Last updated

Oct 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1275693301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E THIRD STREET",
            "address_2": "SSB-5",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051951",
            "telephone_number": "320-245-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 LUNDORFF DR",
            "city": "SANDSTONE",
            "state": "MN",
            "postal_code": "550725099",
            "telephone_number": "320-245-2211",
            "fax_number": "320-245-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVAGNETTO",
        "first_name": "HEIDI",
        "middle_name": "SUE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "102466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lonny Bostrom
• Keith Matthew Bubb
• Samantha Rose Burch
• Danielle Marie Carlin, CNP
• Sheila Ann Carr
• James Cederstrom
• Sambath Cheath, FNP-C
• Tanya Rose Christopherson, RD, LD
• David James Ciaciura
• Sara Frederickson Cogger, PT

• Occupational Therapist in Sandstone, MN
• Providers in Sandstone, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.

Verify at the official NPI Registry.