Individual provider Active NPI

Susan C. Gallaher

  • Occupational Therapist
  • Bloomington, MN
National Provider Identifier
1417852427
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
101424 Issued in MN
Practice address
9400 Nesbitt Ave. S.
Bloomington, MN 55437
Phone
(952) 806-7100
NPI assigned
Oct 9, 2026
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 101424 MN Primary

Addresses

Primary practice location

9400 Nesbitt Ave. S.
Bloomington, MN 55437

Mailing address

1350 West 106TH Street
Bloomington, MN 55431
Phone (952) 806-7135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1417852427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 WEST 106TH STREET",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "55431",
            "telephone_number": "952-806-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 NESBITT AVE. S.",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "55437",
            "telephone_number": "952-806-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAHER",
        "first_name": "SUSAN",
        "middle_name": "C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-09",
        "last_updated": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "101424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.