Evolvewell Occupational Therapy LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

101822 Issued in MN

Legal business name

EVOLVEWELL OCCUPATIONAL THERAPY LLC

Practice address

5842 Hobe LN
White Bear Lake, MN 55110-6477

Phone

(651) 558-1054

NPI assigned

Aug 8, 2016

Organization subpart

No

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

Authorized official

Name

Jessica Engman, OTR/L

Title

Owner/Clinical Director

Phone

(651) 558-1054

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1609320605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5842 HOBE LN",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551106477",
            "telephone_number": "651-558-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5842 HOBE LN",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551106477",
            "telephone_number": "651-558-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVEWELL OCCUPATIONAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-08",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "ENGMAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "651-558-1054",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "101822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; 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.