Tracy Renae Mueller, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

102583 Issued in MN

Practice address

7250 France Ave S
Suite 301
Edina, MN 55435-4305

Phone

(952) 285-2840

Fax

(952) 285-2830

NPI assigned

Sep 22, 2014

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

Other identifiers 1

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": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1285036285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 FRANCE AVE S",
            "address_2": "SUITE 301",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354305",
            "telephone_number": "952-285-2840",
            "fax_number": "952-285-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 FRANCE AVE S",
            "address_2": "SUITE 301",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354305",
            "telephone_number": "952-285-2840",
            "fax_number": "952-285-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "TRACY",
        "middle_name": "RENAE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "102583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPERNAUM",
            "identifier": "411618385",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MPB Psych, LLC
• Steven Mszyco, MD
• John George Muelken, OPA-C
• Joshua Mueller
• Melissa Marie Mueller, AGCNS-BC
• Suzan Muhanna, MA, LPCC, LADC
• Mohamed Muhumed
• Faiza Salad Muktar
• J Bart Muldowney, MN
• Amanda Mulfinger

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.