Individual provider Active NPI

Maleah Kay Knigge, OTR

  • Occupational Therapist
  • Saint Cloud, MN
National Provider Identifier
1285900571
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
104220 Issued in MN
Practice address
3315 Roosevelt Rd
Ste 200a
Saint Cloud, MN 56301-9737
Phone
(320) 420-4080
Fax
(320) 229-4071
NPI assigned
Mar 30, 2012
Last updated
Nov 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 104220 MN Primary

Addresses

Primary practice location

3315 Roosevelt Rd
Ste 200a
Saint Cloud, MN 56301-9737

Mailing address

3315 Roosevelt Rd
Ste 200a
Saint Cloud, MN 56301-9737
Phone (320) 420-4080

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
104220MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Jul 4, 2017 Accepting new patients
Children's Therapy Works, Inc Occupational Therapist CurrentSince Aug 4, 2016 Accepting new patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Jul 4, 2017 Accepting new patients
Rising Up, LLC Past Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

11175 27th Ave SE
Becker, MN 55308
Phone (763) 262-8000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1285900571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 ROOSEVELT RD",
            "address_2": "STE 200A",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563019737",
            "telephone_number": "320-420-4080",
            "fax_number": "320-229-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 ROOSEVELT RD",
            "address_2": "STE 200A",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563019737",
            "telephone_number": "320-420-4080",
            "fax_number": "320-229-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGGE",
        "first_name": "MALEAH",
        "middle_name": "KAY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "104220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.