Individual provider Active NPI

Patricia May Vanlandschoot, OTR/L

  • Occupational Therapist
  • Cottage Grove, MN
National Provider Identifier
1699115113
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
101478 Issued in MN
Practice address
9782 85TH Street PL S
Cottage Grove, MN 55016-3718
Phone
(651) 308-5688
NPI assigned
Jun 28, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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 101478 MN Primary

Addresses

Primary practice location

9782 85TH Street PL S
Cottage Grove, MN 55016-3718

Mailing address

9782 85TH Street PL S
Cottage Grove, MN 55016-3718
Phone (651) 308-5688

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211102001519 MN Practitioner - Occupational Therapist in Private Practice 6709274236 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aegis Group Practice LLCGroup PAC ID 5193036432, 399 clinicians

Practice addresses (Care Compare)

26369 2ND St E
Zimmerman, MN 55398-7539
Phone (800) 444-6845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Occupational Therapist Current Accepting new patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Feb 13, 2024 Accepting new patients
Active Therapy MN Occupational Therapist CurrentSince Feb 2, 2022 Accepting new patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Feb 13, 2024 Accepting new patients
Fox Rehabilitation Services MN LLC Occupational Therapist CurrentSince Feb 1, 2022 Accepting new patients

Locations

6633 N Lincoln Ave
Lincolnwood, IL 60712
Phone (773) 399-9570

80 S 8th St
Minneapolis, MN 55402

Organizations & group practices 5

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": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1699115113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9782 85TH STREET PL S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163718",
            "telephone_number": "651-308-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9782 85TH STREET PL S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163718",
            "telephone_number": "651-308-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANLANDSCHOOT",
        "first_name": "PATRICIA",
        "middle_name": "MAY",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "101478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottage Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.