Active NPI
Kristin Ann Muzzy, MA, OTR/L
- Occupational Therapist
- Thief River Falls, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 103846
- Practice address
- 310 Red Lake Blvd
Thief River Falls, MN 56701-2133 - Phone
- (218) 416-1482
- Fax
- (218) 416-1483
- NPI assigned
- Feb 28, 2011
- Last updated
- Jun 5, 2023
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1908 | ND | |
| Occupational Therapist | 225X00000X | 103846 | MN | Primary |
Addresses
Primary practice location
310 Red Lake Blvd
Thief River Falls, MN 56701-2133
Mailing address
3060 Frontier Way S
Fargo, ND 58104-8909
Phone (701) 232-2340
Other practice location 1
2600 DeMers Ave Ste 101
Grand Forks, ND 58201-4100
Phone (701) 757-3045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1908 | ND | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy Partners, Inc. | Current | Accepting new patients | |
| Pediatric Therapy Partners, Inc. | Occupational Therapist | Current | Accepting new patients |
| Adara Home Health, Inc. | Past | Accepting new patients | |
| Quotable Kids Pediatric Therapy Clinic, PLLC | Occupational Therapist | Past | Accepting new patients |
Locations
310 Red Lake Blvd
Thief River Falls, MN 56701
Phone (218) 416-1482
419 Atlantic Ave
Thief River Falls, MN 56701
Phone (218) 416-1482
3060 Frontier Way S
Fargo, ND 58104
Phone (701) 356-4384
1811 S Washington St
Grand Forks, ND 58201
Phone (701) 757-3045
2600 Demers Ave
Ste 101
Grand Forks, ND 58201
Phone (701) 757-3045
Organizations & group practices 5
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.
-
- Occupational Therapist
- Thief River Falls, MN
- NPI 1275300311
-
dba Pediatric Partners
- Occupational Therapist
- Thief River Falls, MN
- NPI 1457479958
-
dba Early Intervention Partners
- Early Intervention Provider Agency
- Fargo, ND
- NPI 1104426352
-
- Home Health Agency
- Buffalo, MN
- NPI 1063420198
-
- Hearing and Speech Clinic/Center
- Grand Forks, ND
- NPI 1376989855
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1447557434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3060 FRONTIER WAY S",
"city": "FARGO",
"state": "ND",
"postal_code": "581048909",
"telephone_number": "701-232-2340",
"fax_number": "701-232-2330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 RED LAKE BLVD",
"city": "THIEF RIVER FALLS",
"state": "MN",
"postal_code": "567012133",
"telephone_number": "218-416-1482",
"fax_number": "218-416-1483"
}
],
"practiceLocations": [
{
"address_1": "2600 DeMers Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Grand Forks",
"state": "ND",
"postal_code": "582014100",
"country_code": "US",
"telephone_number": "701-757-3045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUZZY",
"first_name": "KRISTIN",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MA, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-28",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ND",
"license": "1908",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "103846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thief River Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.