Amy Eileen Modrow Nelson, OT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

102159 Issued in MN

Practice address

8100 Northland Dr
Minneapolis, MN 55431-4800

Phone

(952) 806-5459

NPI assigned

Sep 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amy Eileen Modrow Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311033600000",
    "number": "1336244128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 NORTHLAND DR",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554314800",
            "telephone_number": "952-806-5459",
            "fax_number": "952-806-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 NORTHLAND DR",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554314800",
            "telephone_number": "952-806-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "AMY",
        "middle_name": "EILEEN MODROW",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2011-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MN",
            "license": "102159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "MODROW",
            "middle_name": "EILEEN",
            "credential": "OTR/L, CHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Neko Vanevenhoven Counseling Inc.
• Randal Scott Nelsen
• Nakijma Nelson-Opoku
• Alex Jackson Nelson
• Alison Kay Nelson, DPT
• Andrea Marie Nelson, MD
• Andrea Pauline Nelson, MA CCC-SLP
• Andrew Cook Nelson, M.D.
• Angela Nelson
• Angie Ericka Nelson, LN, LDN,CNS, NBC-HWC

• Hand Occupational Therapist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Hand Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.