Active NPI
Andrea Marie Ludtke, OT
- Occupational Therapist
- Inver Grove Heights, MN
National Provider Identifier
1740671221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 103797
- Practice address
- 2925 Buckley Way
Inver Grove Heights, MN 55076-2018 - Phone
- (651) 455-0561
- NPI assigned
- Feb 5, 2015
- Last updated
- Feb 5, 2015
- 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 | 103797 | MN | Primary |
Addresses
Primary practice location
2925 Buckley Way
Inver Grove Heights, MN 55076-2018
Mailing address
2925 Buckley Way
Inver Grove Heights, MN 55076-2018
Phone (651) 455-0561
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 |
|---|---|---|---|
| 103797 | MN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423094400000",
"number": "1740671221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 BUCKLEY WAY",
"city": "INVER GROVE HEIGHTS",
"state": "MN",
"postal_code": "550762018",
"telephone_number": "651-455-0561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2925 BUCKLEY WAY",
"city": "INVER GROVE HEIGHTS",
"state": "MN",
"postal_code": "550762018",
"telephone_number": "651-455-0561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUDTKE",
"first_name": "ANDREA",
"middle_name": "MARIE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-05",
"last_updated": "2015-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "103797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Inver Grove Heights, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.