Individual provider Active NPI

Alison Mirelez, M.S., OTR-L

  • Pediatric Occupational Therapist
  • Maplewood, MN
National Provider Identifier
1639201791
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
103088 Issued in MN
Practice address
2495 Maplewood Dr N Ste 313
Maplewood, MN 55109-1985
Phone
(651) 770-8884
NPI assigned
Mar 12, 2007
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 103088 MN Primary

Addresses

Primary practice location

2495 Maplewood Dr N Ste 313
Maplewood, MN 55109-1985

Mailing address

6124 Ridgeway Rd
Edina, MN 55436-2546
Phone (612) 859-0123

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160519000026 MN Practitioner - Occupational Therapist in Private Practice 2163711813 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103088MNMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kid Talk Inc Pediatrics CurrentSince Jun 19, 2025 Accepting new patients
Functional Integrated Therapy, LTD CurrentSince Dec 16, 2025 Accepting new patients
Kid Talk Inc CurrentSince Jun 19, 2025 Accepting new patients

Locations

2495 Maplewood Dr N
Ste 313
Maplewood, MN 55109
Phone (651) 770-8884

3000 White Bear Ave N
Ste 28
Maplewood, MN 55109
Phone (651) 770-8884

8758 Egan Dr
Savage, MN 55378
Phone (952) 226-2999

1772 Stieger Lake Ln
Victoria, MN 55386
Phone (952) 443-9888

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1639201791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 RIDGEWAY RD",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554362546",
            "telephone_number": "612-859-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 MAPLEWOOD DR N STE 313",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091985",
            "telephone_number": "651-770-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRELEZ",
        "first_name": "ALISON",
        "name_prefix": "Mrs.",
        "credential": "M.S., OTR-L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "103088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.