Active NPI
Sara Wigdahl
- Pediatric Occupational Therapist
- Albertville, MN
National Provider Identifier
1437781937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Practice address
- 5232 Kyler Ave NE Ste a
Albertville, MN 55301-4634 - Phone
- (952) 223-2506
- NPI assigned
- Feb 12, 2020
- Last updated
- Feb 12, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | NU | Primary | |
| Speech-Language Pathologist | 235Z00000X | NU |
Addresses
Primary practice location
5232 Kyler Ave NE Ste a
Albertville, MN 55301-4634
Mailing address
9346 Oak Ave
Waconia, MN 55387-9422
Phone (952) 223-2506
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sara.wigdahl@sunnydaystherapy.com |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunnydays Therapy Inc | Speech-Language Pathologist | Current | Accepting new patients |
Locations
5232 Kyler Ave NE
Ste A
Albertville, MN 55301
9346 Oak Ave
Waconia, MN 55387
Phone (952) 885-0418
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1437781937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9346 OAK AVE",
"city": "WACONIA",
"state": "MN",
"postal_code": "553879422",
"telephone_number": "952-223-2506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5232 KYLER AVE NE STE A",
"city": "ALBERTVILLE",
"state": "MN",
"postal_code": "553014634",
"telephone_number": "952-223-2506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGDAHL",
"first_name": "SARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-12",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sara.wigdahl@sunnydaystherapy.com",
"affiliation": "N",
"address_1": "5232 Kyler Ave NE Ste A",
"city": "Albertville",
"state": "MN",
"country_code": "US",
"postal_code": "553014634",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Albertville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.