Amanda Jean Beinhorn, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Shakopee, MN
NPI 1407543879 · NPPES record last updated Apr 18, 2023
Key facts
- NPI
- 1407543879
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 202394 (MN)
- Practice address
- 2168 Granite Dr
Shakopee, MN 55379-2977 - Phone
- (612) 916-2442
- NPI assigned
- Apr 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202394 | MN | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 202394 | MN | Yes |
Addresses
Primary practice location
2168 Granite Dr
Shakopee, MN 55379-2977
Mailing address
2168 Granite Dr
Shakopee, MN 55379-2977
Phone (612) 916-2442
Other names
- Aj Jean Beinhorn
Other providers in Shakopee, MN
- Amber C. Barnes
- Carmen Barnes
- Karyn E Barry
- Deborah A Battles
- Danielle Bauman
- Kelly Belair
- Benedictine Living Community of Shakopee LLC
- Gary D Benke
- Lauren Benolkin
- Wendy M Bergeron
All providers in Shakopee, MN · Occupational Therapy Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.