Individual provider Active NPI

Emily Anne Sundell, COTA

  • Occupational Therapy Assistant
  • Robbinsdale, MN
National Provider Identifier
1548006430
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
202351 Issued in MN
Practice address
4400 45TH Ave N Apt 16a
Robbinsdale, MN 55422-1366
Phone
(612) 618-0773
NPI assigned
Jul 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Feeding, Eating & Swallowing Occupational Therapy Assistant 224ZF0002X 202351 MN
Occupational Therapy Assistant 224Z00000X 202351 MN Primary

Addresses

Primary practice location

4400 45TH Ave N Apt 16a
Robbinsdale, MN 55422-1366

Mailing address

4400 45TH Ave N Apt 16a
Robbinsdale, MN 55422-1366
Phone (612) 618-0773

Other names 1

  • Emily Anne Sundell Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
202351MNMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1548006430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 45TH AVE N APT 16A",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554221366",
            "telephone_number": "612-618-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 45TH AVE N APT 16A",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554221366",
            "telephone_number": "612-618-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDELL",
        "first_name": "EMILY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Feeding, Eating & Swallowing",
            "state": "MN",
            "license": "202351",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MN",
            "license": "202351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "SUNDELL",
            "middle_name": "ANNE",
            "credential": "COTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Robbinsdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.