Active NPI
Kari Jo Redin, OTR
- Occupational Therapist
- Anoka, MN
National Provider Identifier
1629033162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 100034
- Practice address
- 1130 Lund Blvd
Anoka, MN 55303-1091 - Phone
- (612) 227-4081
- NPI assigned
- Apr 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 100034 | MN | Primary |
Addresses
Primary practice location
1130 Lund Blvd
Anoka, MN 55303-1091
Mailing address
17066 59TH St NE
Otsego, MN 55374-4714
Phone (612) 227-4081
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20923002 | Other | MN | MHP |
| 131304 | Other | UCARE | |
| 926443400 | Medicaid | MN | |
| 025T5RE | Other | MN | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100034 | MN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624579200000",
"number": "1629033162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17066 59TH ST NE",
"city": "OTSEGO",
"state": "MN",
"postal_code": "553744714",
"telephone_number": "612-227-4081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 LUND BLVD",
"city": "ANOKA",
"state": "MN",
"postal_code": "553031091",
"telephone_number": "612-227-4081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDIN",
"first_name": "KARI",
"middle_name": "JO",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-18",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "100034",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHP",
"identifier": "20923002",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "131304",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "926443400",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "025T5RE",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anoka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.