Amelia Elizabeth Braun, OTR

Individual provider Active NPI Occupational Therapist · Waconia, MN

NPI 1568972792 · NPPES record last updated Oct 29, 2023

Key facts

NPI
1568972792
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
105503 (MN)
Practice address
9346 Oak Ave
Waconia, MN 55387-9422
Phone
(952) 223-2506
NPI assigned
Oct 2, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20180411002861 MN Practitioner - Occupational Therapist in Private Practice 0446513196 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
105503MNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnydays Therapy Inc Occupational Therapist Current
since Oct 30, 2023
Accepting new patients

Locations

18872 Lake Dr E
Chanhassen, MN 55317

9346 Oak Ave
Waconia, MN 55387
Phone (952) 442-5812

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 105503 MN Yes

Addresses

Primary practice location

9346 Oak Ave
Waconia, MN 55387-9422

Mailing address

9346 Oak Ave
Waconia, MN 55387-9422
Phone (952) 223-2506

Other names

  • Amelia Elizabeth Muir Former name

Other providers in Waconia, MN

All providers in Waconia, MN · Occupational Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.