NPIMap

Individual provider Active NPI

Jacqueline Marie Steffenhagen, OTR/L

  • Occupational Therapist
  • Eagan, MN
National Provider Identifier
1306928940
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
102413 Issued in MN
Practice address
3305 Central Park Village Dr Ste 130
Eagan, MN 55121-7707
Phone
(651) 406-8868
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 102413 MN Primary

Addresses

Primary practice location

3305 Central Park Village Dr Ste 130
Eagan, MN 55121-7707

Mailing address

2865 Upper 62ND St E
Inver Grove Heights, MN 55076-1538
Phone (651) 451-4406

Other names 1

  • Miss Jacqueline Marie Seliga Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care CurrentSince Feb 9, 2021 Accepting new patients
Fairview Health Services CurrentSince Dec 1, 2016 Accepting new patients
Pediatric Therapy Options, LLC Occupational Therapist CurrentSince Jul 24, 2022 Accepting new patients
Fairview Clinics CurrentSince Dec 1, 2016 Accepting new patients
Fairview Express Care CurrentSince Feb 9, 2021 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Express Care Current Accepting new patients

Locations

3305 Central Park Village Dr
Ste 150
Eagan, MN 55121
Phone (612) 672-7123

3305 Central Park Village Dr
Ste 130
Eagan, MN 55121
Phone (651) 406-8701

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

400 Stinson Blvd
Minneapolis, MN 55413
Phone (612) 672-2258

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306928940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 UPPER 62ND ST E",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550761538",
            "telephone_number": "651-451-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 CENTRAL PARK VILLAGE DR STE 130",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551217707",
            "telephone_number": "651-406-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFFENHAGEN",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "102413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "SELIGA",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.