Individual provider Active NPI

Julie M. Quass, OT

  • Occupational Therapist
  • Golden Valley, MN
National Provider Identifier
1639203185
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
103431 (TEMP) Issued in MN
Practice address
3915 Golden Valley Rd
Courage Center
Golden Valley, MN 55422-4249
Phone
(763) 588-0811
Fax
(763) 520-0355
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 103431 (TEMP) MN Primary

Addresses

Primary practice location

3915 Golden Valley Rd
Courage Center
Golden Valley, MN 55422-4249

Mailing address

2905 McLeod St
Burnsville, MN 55337-5603
Phone (952) 270-5799

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
103431 (TEMP)MNMDOccupational Therapist

Interoperability endpoints

  • Direct secure messaging: jquass65609@excellian.direct.allina.com

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639203185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 MCLEOD ST",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553375603",
            "telephone_number": "952-270-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 GOLDEN VALLEY RD",
            "address_2": "COURAGE CENTER",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224249",
            "telephone_number": "763-588-0811",
            "fax_number": "763-520-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUASS",
        "first_name": "JULIE",
        "middle_name": "M.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "103431 (TEMP)",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.