Active NPI
Kathryn Wier, OTR/L
- Occupational Therapist
- Saint Paul, MN
National Provider Identifier
1386131548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 105624
- Practice address
- 333 Smith Ave N
Saint Paul, MN 55102-2344 - Phone
- (612) 262-7979
- NPI assigned
- Apr 13, 2018
- Last updated
- Aug 25, 2022
- 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 | 105624 | MN | Primary |
Addresses
Primary practice location
333 Smith Ave N
Saint Paul, MN 55102-2344
Mailing address
PO Box 3737
Avon, CO 81620-3737
Phone (651) 341-7567
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105624 | Other | MN | MINNESOTA DEPARTMENT OF HEALTH |
| 398342 | Other | NBCOT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | VVMC.DIRECT@direct.vvmc.com | Health Information Exchange (HIE) | Vail Clinic, Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105624 | MN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1386131548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3737",
"city": "AVON",
"state": "CO",
"postal_code": "816203737",
"telephone_number": "651-341-7567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 SMITH AVE N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022344",
"telephone_number": "612-262-7979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIER",
"first_name": "KATHRYN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-13",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "105624",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MINNESOTA DEPARTMENT OF HEALTH",
"identifier": "105624",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBCOT",
"identifier": "398342",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "VVMC.DIRECT@direct.vvmc.com",
"affiliation": "Y",
"affiliationName": "Vail Clinic, Inc.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "181 W Meadow Dr",
"city": "Vail",
"state": "CO",
"country_code": "US",
"postal_code": "816575242",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.