Active NPI
Bridgett Tegen, OTR
- Occupational Therapist
- Vadnais Heights, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 107401
- Practice address
- 480 Highway 96 E Ste 120
Vadnais Heights, MN 55127-2557 - Phone
- (651) 482-8486
- NPI assigned
- Mar 8, 2024
- Last updated
- Mar 8, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 107401 | MN | Primary |
Addresses
Primary practice location
480 Highway 96 E Ste 120
Vadnais Heights, MN 55127-2557
Mailing address
2404 Dupont Ave S Apt 3
Minneapolis, MN 55405-3087
Phone (612) 910-2295
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novacare Outpatient Rehabilitation East, Inc. | Current | Accepting new patients | |
| Novacare Outpatient Rehabilitation East Inc | Current | Accepting new patients | |
| Novacare Outpatient Rehabilitation East Inc | Occupational Therapist | Current | Accepting new patients |
| Novacare Outpatient Rehabilitation East Inc | Current | Accepting new patients |
Locations
10091 Dogwood St NW
Minneapolis, MN 55448
Phone (763) 450-0298
480 Highway 96 E
Ste 120
Vadnais Heights, MN 55127
Phone (651) 330-5598
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Fridley, MN
- NPI 1558610519
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Vadnais Heights, MN
- NPI 1518963909
Occupational Therapist
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Saint Paul, MN
- NPI 1215556998
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Rochester Hills, MI
- NPI 1245235191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709856000000",
"number": "1528826138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2404 DUPONT AVE S APT 3",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554053087",
"telephone_number": "612-910-2295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 HIGHWAY 96 E STE 120",
"city": "VADNAIS HEIGHTS",
"state": "MN",
"postal_code": "551272557",
"telephone_number": "651-482-8486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEGEN",
"first_name": "BRIDGETT",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-08",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "107401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vadnais Heights, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.