Kari Elizabeth Anderson Waderich, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

105494 Issued in MN

Practice address

2448 18TH Ave S
Minneapolis, MN 55404-4006

Phone

(612) 721-2761

NPI assigned

Oct 19, 2017

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)

Not enrolled

Practice roles

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.

• Capernaum Pediatric Therapy, Inc.

  • Specialist
  • Richfield, MN
  • NPI 1619978228
  NPD (past)

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1356852131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 BLOOMINGTON AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 18TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044006",
            "telephone_number": "612-721-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADERICH",
        "first_name": "KARI",
        "middle_name": "ELIZABETH ANDERSON",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "105494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tsering Wachungtsang, A-GNP
• David Anthony Wacker, M.D., PH.D.
• Rachael Wacker, LPCC
• Amber Wade, CPHT
• Kathryn Elizabeth Wade
• Sharandeep Kaur Wadhwa, BDS, MHA
• Nadia Wadi
• Lawrence Waechter, L.AC.
• Alexandra Leigh Wagener, M.A.
• Sharon Elizabeth Gowdy Wagener, OTRL

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.