Active NPI
Sydney Grohman
- Occupational Therapist
- Waconia, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 9346 Oak Ave
Waconia, MN 55387-9422 - Phone
- (952) 223-2506
- NPI assigned
- Jan 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
9346 Oak Ave
Waconia, MN 55387-9422
Mailing address
9346 Oak Ave
Waconia, MN 55387-9422
Phone (952) 223-2506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107105 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Express Care | Current | Accepting new patients | |
| Healtheast Outpatient Services, LLC | Occupational Therapist | Current | Accepting new patients |
| Sunnydays Therapy Inc | Occupational Therapist | Current | Accepting new patients |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Health Services | Past | Accepting new patients |
Locations
3305 Central Park Village Dr
Ste 130
Eagan, MN 55121
Phone (651) 406-8701
2945 Hazelwood St
Ste 320
Maplewood, MN 55109
Phone (612) 273-1172
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
3400 W 66th St
Ste 290
Minneapolis, MN 55435
Phone (952) 836-3637
9220 Bass Lake Rd
Ste 260
New Hope, MN 55428
Phone (763) 533-0363
2270 Ford Pkwy
Ste 200
Saint Paul, MN 55116
Phone (651) 696-5000
3305 Central Park Village Dr
#130
Saint Paul, MN 55121
9346 Oak Ave
Waconia, MN 55387
Phone (952) 442-5812
9680 Tamarack Rd
Ste 130
Woodbury, MN 55125
Phone (612) 273-1172
1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Physical Therapist
- Saint Paul, MN
- NPI 1225382526
Occupational Therapist
-
- Occupational Therapist
- Waconia, MN
- NPI 1891914412
-
- Family Medicine Physician
- Edina, MN
- NPI 1538542204
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1336854835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9346 OAK AVE",
"city": "WACONIA",
"state": "MN",
"postal_code": "553879422",
"telephone_number": "952-223-2506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9346 OAK AVE",
"city": "WACONIA",
"state": "MN",
"postal_code": "553879422",
"telephone_number": "952-223-2506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROHMAN",
"first_name": "SYDNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-18",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waconia, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.