Kelly Tekippe

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

104100 Issued in MN

Practice address

5155 E River Rd Ste 403
Fridley, MN 55421-3777

Phone

(763) 572-2519

Fax

(763) 572-2616

NPI assigned

Dec 8, 2011

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Metro Therapy Special Children's Clinic, Inc

  • Occupational Therapist
  • Fridley, MN
  • NPI 1144587023
  NPD (past)
• Metro Therapy Special Children's Clinic, Inc

  • Occupational Therapist
  • Fridley, MN
  • NPI 1376541243
  NPD (past)

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1528336203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 E RIVER RD STE 403",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554213777",
            "telephone_number": "763-572-2519",
            "fax_number": "763-572-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 E RIVER RD STE 403",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554213777",
            "telephone_number": "763-572-2519",
            "fax_number": "763-572-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEKIPPE",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "104100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Lyn Szpek, DPT
• Hussein Taha
• Tara Herrmann LLC
• Kendle Ashley Taylor
• Michael Clifford Tchida, PAC
• Teleoptometric Service, P.C.
• Chajli Chen Thao, PA-C
• Mai Nhia Thao, LMFT
• The Landing of Minnesota, LLC (The Landing 2)
• The Minnesota Chiroworks, PC

• Pediatric Occupational Therapist in Fridley, MN
• Providers in Fridley, MN by specialty
• Pediatric Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.