Colleen Overman, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

1061905 Issued in OR

Practice address

3525 Monterey Dr
St Louis Park, MN 55416-5275

Phone

(952) 231-2447

NPI assigned

Dec 2, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1356679385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W 40TH ST",
            "address_2": "FIRST FLOOR",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554091530",
            "telephone_number": "503-267-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 MONTEREY DR",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165275",
            "telephone_number": "952-231-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERMAN",
        "first_name": "COLLEEN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-02",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OR",
            "license": "1061905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susanne Marie Otos, RN, LSN, BSN, PHN
• Kristie Ott
• Jeffrey William Otte, ATC
• Hillary Otto, M.S. OT
• Lisa Youn Kyung Otto, DPT
• Ovo Lasik and Lens LLC
• Ovo Obs LLC
• Michele Owens, LMFT
• Oxybora Distributing, LLC
• Louise Page, L.P.C.C.

• Pediatric Occupational Therapist in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Pediatric Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.