Becky Marie Edson, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

101560 Issued in MN

Practice address

4984 381St LN
North Branch, MN 55056-6075

Phone

(651) 237-0387

NPI assigned

Aug 29, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Kids Abilities, Inc

  • Clinic/Center
  • Shoreview, MN
  • NPI 1154455616
  Medicare reassignment NPD
• Kids Abilities, Inc.

  • Clinic/Center
  • Hugo, MN
  • NPI 1184948572
  NPD

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1639459167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4984 381ST LN",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566075",
            "telephone_number": "651-237-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4984 381ST LN",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566075",
            "telephone_number": "651-237-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDSON",
        "first_name": "BECKY",
        "middle_name": "MARIE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "101560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Ann Dewitt, RN
• Breanna June Dorothy, D.C.
• Michael M Dummer, MD
• East Central Counseling Center
• Ecumen
• Empowering Hope
• Sarah Evans, DNP, APRN, WHNP-BC
• Fairview Clinics
• Fairview Pharmacy Services LLC
• Fairview Pharmacy Services LLC

• Pediatric Occupational Therapist in North Branch, MN
• Providers in North Branch, MN by specialty
• Pediatric Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.