Individual provider Active NPI

Rachel Turner Egan, OTR/L MS

  • Occupational Therapist
  • Coon Rapids, MN
National Provider Identifier
1629369541
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
104032 Issued in MN
Practice address
2104 Northdale Blvd NW
Suite 100
Coon Rapids, MN 55433-3028
Phone
(763) 755-5495
Fax
(763) 862-0342
NPI assigned
Apr 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 104032 MN Primary

Addresses

Primary practice location

2104 Northdale Blvd NW
Suite 100
Coon Rapids, MN 55433-3028

Mailing address

2104 Northdale Blvd NW Ste 100
Coon Rapids, MN 55433-3045
Phone (763) 755-5495

Other names 1

  • Rachel Jean Turner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130116000521 MN Practitioner - Occupational Therapist in Private Practice 9032362371 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
104032MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Novacare Outpatient Rehabilitation East Inc Current Accepting new patients
Novacare Outpatient Rehabilitation East Inc CurrentSince Apr 10, 2020 Accepting new patients
Novacare Outpatient Rehabilitation East, Inc. CurrentSince Apr 10, 2020 Accepting new patients

Locations

10091 Dogwood St NW
Minneapolis, MN 55448
Phone (763) 450-0298

2104 Northdale Blvd NW
Ste 100
Minneapolis, MN 55433
Phone (763) 755-5495

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1629369541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 NORTHDALE BLVD NW STE 100",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554333045",
            "telephone_number": "763-755-5495",
            "fax_number": "763-862-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 NORTHDALE BLVD NW",
            "address_2": "SUITE 100",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554333028",
            "telephone_number": "763-755-5495",
            "fax_number": "763-862-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN",
        "first_name": "RACHEL",
        "middle_name": "TURNER",
        "credential": "OTR/L MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-26",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "104032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "TURNER",
            "middle_name": "JEAN",
            "credential": "OTR/L MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.