Jessica Hormann, MA OTR/L

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

102276 Issued in MN

Practice address

10300 Hennepin Town Rd
Eden Prairie, MN 55347-5100

Phone

(651) 270-3920

NPI assigned

Sep 6, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Group practices

Active Therapy MNGroup PAC ID 2769878099, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Active Therapy MN

  • Physical Therapist
  • Eden Prairie, MN
  • NPI 1730835257
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1437935293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 COUNTY ROAD C W",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132155",
            "telephone_number": "651-270-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 HENNEPIN TOWN RD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553475100",
            "telephone_number": "651-270-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORMANN",
        "first_name": "JESSICA",
        "credential": "MA OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MN",
            "license": "102276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ben Hoogland, LMFT
• Chantelle Jessica Hoogland, LPCC, LADC
• Hope Healthcare Agency Inc
• Irene Hoppe
• Horizon Services Inc
• Amy Leann Horning, L.I.C.S.W.
• Rachel Joi Howard
• Adam Michael Hoxie, DDS, MS
• Michael H Hoxie, DDS
• April L Hughes

• Physical Rehabilitation Occupational Therapist in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Physical Rehabilitation Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.