Emily Mary Bicknell, OTD, OTR/L
Individual provider Active NPI Occupational Therapist · Cold Spring, MN
NPI 1336039890 · NPPES record last updated Jul 15, 2026
Key facts
- NPI
- 1336039890
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 107830 (MN)
- Practice address
- 402 Red River Ave N
Cold Spring, MN 56320-1521 - Phone
- (320) 200-4473
- Fax
- (320) 584-2660
- NPI assigned
- Jul 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
103 3Rd Ave N
Cold Spring, MN 56320-1618
1406 6TH Ave N
St Cloud, MN 56303-1900
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250904002969 | MN | Practitioner - Occupational Therapist in Private Practice | 0840792347 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107830 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Cloud Hospital | Current |
Accepting new patients | |
| St. Cloud Hospital | Current |
Accepting new patients | |
| Beaumont Feeding & Speech Solutions LLC | Current |
Accepting new patients |
Locations
402 Red River Ave N
Ste 5
Cold Spring, MN 56320
Phone (320) 200-4473
402 Red River Ave N
Cold Spring, MN 56320
Phone (320) 204-6181
1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422
1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657
110 2nd St S
Ste 104
Waite Park, MN 56387
Phone (320) 259-9375
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 107830 | MN | Yes |
Addresses
Primary practice location
402 Red River Ave N
Cold Spring, MN 56320-1521
Mailing address
402 Red River Ave N Ste 5
Cold Spring, MN 56320-1523
Phone (320) 200-4473
Other practice location 1
2848 2nd St S Ste 155165
Saint Cloud, MN 56301-4594
Phone (320) 200-4473
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ebicknell905126@direct.centracare.com | Direct |
Other providers in Cold Spring, MN
- Frank Barnaby
- Beaumont Feeding & Speech Solutions LLC
- Beaumont Feeding & Speech Solutions LLC
- Victoria H Benson
- Carol M Bicknell
- Rachel Burg
- Amber Byram
- Centracare Clinic
- Centracare Health-Paynesville LLC
- Child Psychiatric Services
All providers in Cold Spring, MN · Occupational Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.