Amy M. Hodenfield, O.T.

Individual provider Active NPI Occupational Therapist · Wheaton, MN

NPI 1356555817 · NPPES record last updated Mar 25, 2010

Key facts

NPI
1356555817
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
103450 (MN)
Practice address
1205 5TH Ave N
Wheaton, MN 56296-4500
Phone
(320) 563-8269
Fax
(320) 839-4196
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Big Stone Therapies, Inc Occupational Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 103450 MN Yes

Addresses

Primary practice location

1205 5TH Ave N
Wheaton, MN 56296-4500

Mailing address

820 Roy St
Ortonville, MN 56278-1138
Phone (320) 839-4271

Other providers in Wheaton, MN

All providers in Wheaton, MN · Occupational Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.