Active NPI
Angela Edith Dolan, MA, OTR/L
- Occupational Therapist
- Saint Paul, MN
National Provider Identifier
1699116863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 105863
- Practice address
- 755 Prior Ave N
Suite 235E
St Paul, MN 55104 - Phone
- (651) 645-8083
- Fax
- (651) 645-8078
- NPI assigned
- Jul 16, 2013
- Sex
- Female
- 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 Therapy Assistant | 224Z00000X | 201759 | MN | |
| Occupational Therapist | 225X00000X | 105863 | MN | Primary |
Addresses
Primary practice location
755 Prior Ave N
Suite 235E
St Paul, MN 55104
Mailing address
6550 York Avenue South
Suite 520
Edina, MN 55435
Phone (952) 924-0199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201759 | MN | MD | Occupational Therapy Assistant |
| 105863 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saunders Therapy Centers Inc | Occupational Therapist | Past | Accepting new patients |
| Therapy Partners Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Bloomington, MN
- NPI 1952554495
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558310400000",
"number": "1699116863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6550 YORK AVENUE SOUTH",
"address_2": "SUITE 520",
"city": "EDINA",
"state": "MN",
"postal_code": "55435",
"telephone_number": "952-924-0199",
"fax_number": "952-924-0314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 PRIOR AVE N",
"address_2": "SUITE 235E",
"city": "ST PAUL",
"state": "MN",
"postal_code": "55104",
"telephone_number": "651-645-8083",
"fax_number": "651-645-8078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLAN",
"first_name": "ANGELA",
"middle_name": "EDITH",
"credential": "MA, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-16",
"last_updated": "2019-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MN",
"license": "201759",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "105863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.