Individual provider Active NPI

Emily Mary Bicknell, OTD, OTR/L

  • Occupational Therapist
  • Cold Spring, MN
National Provider Identifier
1336039890
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
107830 Issued in 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
Last updated
Jul 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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 107830 MN Primary

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 1

TypeEndpointUseAffiliation
Direct Messaging Address ebicknell905126@direct.centracare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250904002969 MN Practitioner - Occupational Therapist in Private Practice 0840792347 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107830MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Feeding & Speech Solutions LLC CurrentSince Jun 23, 2025 Accepting new patients
St. Cloud Hospital CurrentSince Dec 1, 2025 Accepting new patients
St. Cloud Hospital CurrentSince Dec 1, 2025 Accepting new patients

Locations

402 Red River Ave N
Cold Spring, MN 56320
Phone (320) 204-6181

402 Red River Ave N
Ste 5
Cold Spring, MN 56320
Phone (320) 200-4473

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

110 2nd St S
Ste 104
Waite Park, MN 56387
Phone (320) 259-9375

Organizations & group practices 5

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": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1336039890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 RED RIVER AVE N STE 5",
            "city": "COLD SPRING",
            "state": "MN",
            "postal_code": "563201523",
            "telephone_number": "320-200-4473",
            "fax_number": "320-584-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 RED RIVER AVE N",
            "city": "COLD SPRING",
            "state": "MN",
            "postal_code": "563201521",
            "telephone_number": "320-200-4473",
            "fax_number": "320-584-2660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2848 2nd St S Ste 155165",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563014594",
            "country_code": "US",
            "telephone_number": "320-200-4473",
            "fax_number": "320-584-2660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BICKNELL",
        "first_name": "EMILY",
        "middle_name": "MARY",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-07",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "107830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ebicknell905126@direct.centracare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ebicknell905126@direct.centracare.com",
            "address_1": "1900 Centracare Cir Ste 100",
            "city": "Saint Cloud",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563035000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cold Spring, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.