Active NPI
Donna Renee Guimond, OTR/L
- Occupational Therapist
- Plymouth, MN
National Provider Identifier
1376220285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 100026
- Practice address
- 16205 36TH Ave N
Plymouth, MN 55446-3374 - Phone
- (763) 383-8888
- NPI assigned
- Jul 3, 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 | 100026 | MN | Primary |
Addresses
Primary practice location
16205 36TH Ave N
Plymouth, MN 55446-3374
Mailing address
9226 Xenium LN N
Maple Grove, MN 55369-6741
Phone (763) 310-7448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2945 Lincoln Dr
Roseville, MN 55113-1338
Phone (651) 631-6570
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optage Inc | Occupational Therapist | Current | Accepting new patients |
| Optage Inc | Occupational Therapist | Current | Accepting new patients |
Locations
2845 Hamline Ave N
Saint Paul, MN 55113
Phone (651) 631-6100
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1376220285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9226 XENIUM LN N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553696741",
"telephone_number": "763-310-7448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16205 36TH AVE N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554463374",
"telephone_number": "763-383-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIMOND",
"first_name": "DONNA",
"middle_name": "RENEE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-03",
"last_updated": "2023-07-03",
"certification_date": "2023-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "100026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.