Individual provider Active NPI

Larissa Kay Christ, OTR/L

  • Occupational Therapist
  • Mankato, MN
National Provider Identifier
1497413660
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
106884 Issued in MN
Practice address
150 Saint Andrews CT Ste 310
Mankato, MN 56001-8805
Phone
(507) 388-5437
NPI assigned
Dec 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 111813 IA
Occupational Therapist 225X00000X 106884 MN Primary

Addresses

Primary practice location

150 Saint Andrews CT Ste 310
Mankato, MN 56001-8805

Mailing address

2131 Bunker LN Apt 10
Saint Peter, MN 56082-1992
Phone (641) 843-8403

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
111813IAMDOccupational Therapist
106884MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mankato Clinic LTD CurrentSince Oct 1, 2022 Accepting new patients
Millennium Rehab & Consulting, Inc. PastSince Dec 1, 2021 Accepting new patients
Millennium Rehab & Consulting, Inc. Occupational Therapist PastSince Dec 1, 2021 Accepting new patients
Pediatric Therapy Services Inc PastSince Nov 6, 2022 Accepting new patients

Locations

1230 E Main St
Mankato, MN 56001
Phone (507) 389-8502

1809 Adams St
Mankato, MN 56001
Phone (507) 386-7429

1400 Madison Ave
Ste 352
Mankato, MN 56001
Phone (507) 387-3195

1421 Premier Dr
Mankato, MN 56001
Phone (507) 385-4000

1575 Lookout Dr
North Mankato, MN 56003
Phone (507) 327-4726

1900 Sunrise Dr
Ste 300
Saint Peter, MN 56082
Phone (507) 389-8538

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1497413660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 BUNKER LN APT 10",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560821992",
            "telephone_number": "641-843-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SAINT ANDREWS CT STE 310",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560018805",
            "telephone_number": "507-388-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRIST",
        "first_name": "LARISSA",
        "middle_name": "KAY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "111813",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "106884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.