Active NPI
Amos D Hartsell, OTR/L
- Hand Occupational Therapist
- Alexandria, MN
National Provider Identifier
1639490253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 104047
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104047 | MN | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Physical Therapy P C | Past | Accepting new patients | |
| Summit Physical Therapy, Inc. | Past | Accepting new patients | |
| Benton Franklin Orthopedic Associates, PLLC | Past | Accepting new patients | |
| United Early Learning & Family Center LLC | Past | 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.
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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.