Active NPI
Ashley Stephens, OTD
- Pediatric Occupational Therapist
- Andover, MN
National Provider Identifier
1700519519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 5926
- Practice address
- 1891 Station Pkwy NW
Andover, MN 55304-3341 - Phone
- (763) 755-4275
- NPI assigned
- Jul 8, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 5926 | MN | Primary |
Addresses
Primary practice location
1891 Station Pkwy NW
Andover, MN 55304-3341
Mailing address
1891 Station Pkwy NW
Andover, MN 55304-3341
Phone (763) 755-4275
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221007001794 | MN | Practitioner - Occupational Therapist in Private Practice | 6507242948 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Speech & Therapy Services, LLC | Current | Accepting new patients |
Locations
1891 Station Pkwy NW
Andover, MN 55304
Phone (763) 307-4589
4301 Highway 7
Ste 155
St Louis Park, MN 55416
Phone (763) 755-4261
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": "1657238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657238400000",
"number": "1700519519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1891 STATION PKWY NW",
"city": "ANDOVER",
"state": "MN",
"postal_code": "553043341",
"telephone_number": "763-755-4275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1891 STATION PKWY NW",
"city": "ANDOVER",
"state": "MN",
"postal_code": "553043341",
"telephone_number": "763-755-4275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "ASHLEY",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-08",
"last_updated": "2022-07-08",
"certification_date": "2022-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MN",
"license": "5926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Andover, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.