Individual provider Active NPI

Lynn Marie Steidler-Thompson

  • Occupational Therapist
  • Nisswa, MN
National Provider Identifier
1427685320
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
102991 Issued in MN
Practice address
24090 Smiley Rd Ste 200
Nisswa, MN 56468-2946
Phone
(218) 963-9452
NPI assigned
Mar 23, 2020
Last updated
Mar 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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 102991 MN Primary

Addresses

Primary practice location

24090 Smiley Rd Ste 200
Nisswa, MN 56468-2946

Mailing address

37051 159TH Ave
Menahga, MN 56464-6590
Phone (320) 334-4058

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

NPI Registry JSON

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1427685320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37051 159TH AVE",
            "city": "MENAHGA",
            "state": "MN",
            "postal_code": "564646590",
            "telephone_number": "320-334-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24090 SMILEY RD STE 200",
            "city": "NISSWA",
            "state": "MN",
            "postal_code": "564682946",
            "telephone_number": "218-963-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIDLER-THOMPSON",
        "first_name": "LYNN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "102991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nisswa, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.