Active NPI
Katherine Sytniak, MOT, OTR/L
- Occupational Therapist
- Rosemount, MN
National Provider Identifier
1275960502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 3455 153Rd St W
Rosemount, MN 55068-4946 - Phone
- (734) 474-9417
- NPI assigned
- Oct 1, 2013
- Reactivated
- Oct 6, 2026
- Last updated
- Oct 12, 2026
- 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 Therapist | 225X00000X | NU | Primary |
Addresses
Primary practice location
3455 153Rd St W
Rosemount, MN 55068-4946
Mailing address
446 Snelling Ave S
Saint Paul, MN 55105-2147
Phone (734) 474-9417
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 307634 | Other | NBCOT | |
| 104437 | Other | MN | STATE OF MINNESOTA OCCUPATIONAL THERAPY PRACTITIONER LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791763200000",
"number": "1275960502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "446 SNELLING AVE S",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551052147",
"telephone_number": "734-474-9417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 153RD ST W",
"city": "ROSEMOUNT",
"state": "MN",
"postal_code": "550684946",
"telephone_number": "734-474-9417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYTNIAK",
"first_name": "KATHERINE",
"name_prefix": "Ms.",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-01",
"last_updated": "2026-10-12",
"certification_date": "2026-10-12",
"deactivation_date": "2014-10-10",
"reactivation_date": "2026-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBCOT",
"identifier": "307634",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MINNESOTA OCCUPATIONAL THERAPY PRACTITIONER LICENSE",
"identifier": "104437",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rosemount, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.