Active NPI
Ava McKee, OTR/L
- Occupational Therapist
- Stillwater, MN
National Provider Identifier
1720721301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 106606
- Practice address
- 1500 Curve Crest Blvd W
Stillwater, MN 55082-6040 - Phone
- (651) 439-1234
- NPI assigned
- Apr 20, 2022
- Last updated
- Apr 20, 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 106606 | MN | Primary |
Addresses
Primary practice location
1500 Curve Crest Blvd W
Stillwater, MN 55082-6040
Mailing address
9250 Dellwood Rd N
White Bear Lake, MN 55115-2141
Phone (651) 274-9477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2230 | Other | MN | ID |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | N/A |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106606 | MN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1720721301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9250 DELLWOOD RD N",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551152141",
"telephone_number": "651-274-9477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 CURVE CREST BLVD W",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550826040",
"telephone_number": "651-439-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKEE",
"first_name": "AVA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-20",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "106606",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ID",
"identifier": "2230",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "N/A",
"affiliation": "N",
"address_1": "1500 Curve Crest Blvd W",
"city": "Stillwater",
"state": "MN",
"country_code": "US",
"postal_code": "550826040",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Stillwater, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.