Active NPI
Lauren Kelly
- Occupational Therapist
- Minneapolis, MN
National Provider Identifier
1699686741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 107721
- Practice address
- 817 Main St NE
Minneapolis, MN 55413-1931 - Phone
- (612) 362-2415
- NPI assigned
- Sep 16, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 107721 | MN | Primary |
Addresses
Primary practice location
817 Main St NE
Minneapolis, MN 55413-1931
Mailing address
19 Central Ave
Buffalo, MN 55313-1569
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1699686741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 CENTRAL AVE",
"city": "BUFFALO",
"state": "MN",
"postal_code": "553131569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 MAIN ST NE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554131931",
"telephone_number": "612-362-2415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-09-16",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "107721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.