Jenny Tessa Derasmi, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

200985 Issued in MN

Practice address

3915 Golden Valley Rd
Golden Valley, MN 55422-4249

Phone

(763) 588-0811

NPI assigned

May 18, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1699035196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 GOLDEN VALLEY RD",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224249",
            "telephone_number": "763-588-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 GOLDEN VALLEY RD",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224249",
            "telephone_number": "763-588-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERASMI",
        "first_name": "JENNY",
        "middle_name": "TESSA",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MN",
            "license": "200985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Dehnel, MD
• Emily Thames Delaney, APRN, PMHNP
• Kristin Le Demartino, O.T.
• Naajee Dennis
• Dental Partners of Minnesota, LTD
• Laura Deshotels, PT, DPT
• Carley Ellen Devee, PHARMD
• Jodi Lynn Dezale, MA CCC SLP
• Dianne L. Como, DC, PA
• Andrea Dickinson

• Occupational Therapy Assistant in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Occupational Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.