Active NPI
Tricia Arline Kloeckl, OTR/L
- Occupational Therapist
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 101430
- Practice address
- 435 Phalen Blvd
Saint Paul, MN 55130-5302 - Phone
- (651) 254-3200
- NPI assigned
- Sep 21, 2006
- 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 | 534 | SC | |
| Occupational Therapist | 225X00000X | 101430 | MN | Primary |
Addresses
Primary practice location
435 Phalen Blvd
Saint Paul, MN 55130-5302
Mailing address
6465 Wayzata Blvd
Ste 315
St Louis Park, MN 55426-1728
Other practice location 1
7550 34th Ave S
Minneapolis, MN 55450-1124
Phone (952) 993-9830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3800 American Blvd W
Suite 200
Bloomington, MN 55431-4420
Phone (952) 831-8742
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regions Hospital | Current | Accepting new patients | |
| Regions Hospital | Current | Accepting new patients | |
| Tria Orthopaedic Center LLC | Current | Accepting new patients | |
| Regions Hospital | Current | Accepting new patients | |
| Park Nicollet Clinic | Current | Accepting new patients | |
| Park Nicollet Clinic | Current | Accepting new patients |
Locations
3800 American Blvd W
Ste 200
Bloomington, MN 55431
Phone (952) 806-5510
7550 34th Ave S
Minneapolis, MN 55450
Phone (612) 727-1167
8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626
5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
435 Phalen Blvd
Saint Paul, MN 55130
Phone (651) 254-3200
Organizations & group practices 6
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.
-
dba TRIA Orthopaedic Clinic
- Orthopaedic Surgery Physician
- Bloomington, MN
- NPI 1518273085
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1780621904
-
dba Regions Professional Group
- Emergency Medicine Physician
- Saint Paul, MN
- NPI 1154359917
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1063897593
-
dba HealthPartners Specialty Center Woodbury
- General Acute Care Hospital
- Woodbury, MN
- NPI 1104681105
-
dba Regions Hospital Rehabilitation
- Rehabilitation Clinic/Center
- Saint Paul, MN
- NPI 1134157092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1487753018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6465 WAYZATA BLVD",
"address_2": "STE 315",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554261728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 PHALEN BLVD",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551305302",
"telephone_number": "651-254-3200"
}
],
"practiceLocations": [
{
"address_1": "7550 34th Ave S",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554501124",
"country_code": "US",
"telephone_number": "952-993-9830",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLOECKL",
"first_name": "TRICIA",
"middle_name": "ARLINE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "534",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "101430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.