Individual provider Active NPI

Mary Lisa Neuzil, OTR

  • Occupational Therapist
  • North Mankato, MN
National Provider Identifier
1699691980
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
101197 Issued in MN
Practice address
2101 Rolling Green LN
North Mankato, MN 56003-4442
Phone
(952) 767-4200
NPI assigned
Jun 29, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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 101197 MN Primary

Addresses

Primary practice location

2101 Rolling Green LN
North Mankato, MN 56003-4442

Mailing address

PO Box 162
Farmington, MN 55024-0162
Phone (507) 385-1997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5868 Baker Rd
Minnetonka, MN 55345-5903

PO Box
Suite 162
Farmington, MN 55024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Opportunities Foundation CurrentSince Jun 29, 2026 Accepting new patients

Locations

5868 Baker Rd
Minnetonka, MN 55345
Phone (612) 245-5933

Organizations & group practices 1

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": "1782691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1699691980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550240162",
            "telephone_number": "507-385-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 ROLLING GREEN LN",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "560034442",
            "telephone_number": "952-767-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUZIL",
        "first_name": "MARY",
        "middle_name": "LISA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "101197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.