Individual provider Active NPI

Kari Wiggins Lukken, OTR/L

  • Occupational Therapist
  • New Brighton, MN
National Provider Identifier
1720259153
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
101180 Issued in MN
Practice address
825 1St Ave NW
New Brighton, MN 55112-6846
Phone
(651) 633-7875
NPI assigned
Mar 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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 101180 MN Primary

Addresses

Primary practice location

825 1St Ave NW
New Brighton, MN 55112-6846

Mailing address

825 1St Ave NW
New Brighton, MN 55112-6846
Phone (651) 633-7875

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220928001162 MN Practitioner - Occupational Therapist in Private Practice 8729464706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1985
Medicare assignment
May accept Medicare assignment
Group practices
Active Therapy MNGroup PAC ID 2769878099, 22 clinicians
Aegis Group Practice LLCGroup PAC ID 5193036432, 399 clinicians

Practice addresses (Care Compare)

10300 Hennepin Town Rd
Eden Prairie, MN 55347-5100
Phone (732) 703-8504

5601 94TH Ave N
Minneapolis, MN 55443-2395
Phone (763) 401-2461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Oct 11, 2024 Accepting new patients
Aegis Group Practice LLC Occupational Therapist Current Accepting new patients
Active Therapy MN Occupational Therapist CurrentSince Feb 5, 2025 Accepting new patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Oct 11, 2024 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 4

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": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1720259153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 1ST AVE NW",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551126846",
            "telephone_number": "651-633-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 1ST AVE NW",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551126846",
            "telephone_number": "651-633-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKKEN",
        "first_name": "KARI",
        "middle_name": "WIGGINS",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "101180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brighton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.