Ayala Nogueira, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

107202 Issued in MN

Practice address

4638 Victor Path Ste 100
Hugo, MN 55038-4732

Phone

(651) 407-3777

NPI assigned

Jun 28, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Kids Abilities, Inc

  • Clinic/Center
  • Shoreview, MN
  • NPI 1154455616
  NPD
• Kids Abilities, Inc.

  • Clinic/Center
  • Hugo, MN
  • NPI 1184948572
  NPD

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1558048983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 CENTERVILLE RD APT 306",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551272215",
            "telephone_number": "404-977-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4638 VICTOR PATH STE 100",
            "city": "HUGO",
            "state": "MN",
            "postal_code": "550384732",
            "telephone_number": "651-407-3777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "490 Highway 96 W Ste 300",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551261961",
            "country_code": "US",
            "telephone_number": "651-451-3016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOGUEIRA",
        "first_name": "AYALA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "107202",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "107202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PA Moua
• Kylee Marie Munson
• Ku Gay Nahpay
• Isabelle Alan Nelson
• Linh Nguyen
• North Star Podiatric Lab, Inc.
• Northeast Eye Care of Hugo
• John T Northwood, MD
• Volodymyr Oleksovskyi
• Oneka Chiropractic, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.