Elizabeth Sarah Guentzel, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

103721 Issued in MN

Practice address

2795 Pilot Knob Rd Ste 100
Eagan, MN 55121-1930

Phone

(651) 994-9644

NPI assigned

Jul 8, 2009

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Children'S Therapy Center, Inc

  • Speech-Language Pathologist
  • Eagan, MN
  • NPI 1295809366
  Medicare reassignment
• Children'S Therapy Ctr, Inc

  • Speech-Language Pathologist
  • Apple Valley, MN
  • NPI 1053450742
  NPD (past)

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1508095878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 PILOT KNOB RD STE 100",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211930",
            "telephone_number": "651-994-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 PILOT KNOB RD STE 100",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211930",
            "telephone_number": "651-994-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUENTZEL",
        "first_name": "ELIZABETH",
        "middle_name": "SARAH",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "103721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD FOR CERTIFICATION IN OT",
            "identifier": "252504",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA DEPARTMENT OF HEALTH OT PRACTITIONER LICENSE",
            "identifier": "103721",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tarah Lynn Groettum, MSED, LPCC
• Lisa Gronneberg
• Group Health Plan Inc
• Frank Morris Grund, M.D.
• Adam Guderian
• Guiding Steps ABA LLC
• Farhan N Guled
• Ebony Gums, LICSW
• Naresh T Gunaratnam, M.D.
• Michael H Gurewitz, DDS

• Occupational Therapist in Eagan, MN
• Providers in Eagan, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.

Verify at the official NPI Registry.