Active NPI
Emily Debreto, OTR
- Occupational Therapist
- Forest Lake, MN
National Provider Identifier
1285065342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 103583
- Practice address
- 146 Lake St N
Forest Lake, MN 55025-2518 - Phone
- (651) 464-5235
- Fax
- (763) 230-1924
- NPI assigned
- Nov 27, 2013
- 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 | 103583 | MN | Primary |
Addresses
Primary practice location
146 Lake St N
Forest Lake, MN 55025-2518
Mailing address
146 Lake St N
Forest Lake, MN 55025-2518
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 |
|---|---|---|---|
| 103583 | MN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385510400000",
"number": "1285065342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 LAKE ST N",
"city": "FOREST LAKE",
"state": "MN",
"postal_code": "550252518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 LAKE ST N",
"city": "FOREST LAKE",
"state": "MN",
"postal_code": "550252518",
"telephone_number": "651-464-5235",
"fax_number": "763-230-1924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBRETO",
"first_name": "EMILY",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-27",
"last_updated": "2013-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "103583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.