Individual provider Active NPI

Amos D Hartsell, OTR/L

  • Hand Occupational Therapist
  • Alexandria, MN
National Provider Identifier
1639490253
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
104047 Issued in MN
Practice address
220 22ND Ave E Ste 108
Alexandria, MN 56308
Phone
(320) 335-2515
Fax
(320) 335-2717
NPI assigned
Jun 17, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 104047 MN
Hand Occupational Therapist 225XH1200X 104047 MN Primary

Addresses

Primary practice location

220 22ND Ave E Ste 108
Alexandria, MN 56308

Mailing address

220 22ND Ave E Ste 108
Alexandria, MN 56308-4875
Phone (320) 335-2515

Other practice location 1

8290 University Ave NE
Suite 200
Fridley, MN 55432-1847
Phone (763) 786-9543

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130430000662 MN Practitioner - Occupational Therapist in Private Practice 9931233970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of North Dakota School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

220 22ND Ave E
Suite 108
Alexandria, MN 56308-4875
Phone (320) 335-2515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
104047MNMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Physical Therapy P C PastSince Feb 1, 2023 Accepting new patients
Summit Physical Therapy, Inc. PastSince Jun 18, 1991 Accepting new patients
Benton Franklin Orthopedic Associates, PLLC PastSince Jan 1, 2001 Accepting new patients
United Early Learning & Family Center LLC PastSince Apr 22, 2025 Accepting new patients
Infinite Health Collaborative, PA Past Accepting new patients

Organizations & group practices 6

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": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1639490253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 22ND AVE E STE 108",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563084875",
            "telephone_number": "320-335-2515",
            "fax_number": "320-335-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 22ND AVE E STE 108",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "56308",
            "telephone_number": "320-335-2515",
            "fax_number": "320-335-2717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8290 University Ave NE",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Fridley",
            "state": "MN",
            "postal_code": "554321847",
            "country_code": "US",
            "telephone_number": "763-786-9543",
            "fax_number": "763-786-3320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTSELL",
        "first_name": "AMOS",
        "middle_name": "D",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-17",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "104047",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MN",
            "license": "104047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.