Active NPI
Kendra Mertes, MOTR/L
- Pediatric Occupational Therapist
- Andover, MN
National Provider Identifier
1750033593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 5895
- Practice address
- 1891 Station Pkwy NW
Andover, MN 55304-3341 - Phone
- (763) 755-4275
- NPI assigned
- Jan 24, 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 | 5895 | 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
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5895 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1750033593",
"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": "MERTES",
"first_name": "KENDRA",
"credential": "MOTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-24",
"last_updated": "2022-01-24",
"certification_date": "2022-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MN",
"license": "5895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Andover, MN
- Laurie Ann McLeod-Lorence, M.D.
- Stacey E Meath, LICSW
- Kallie Medenwald, M.S CF-SLP
- Medexpress Urgent Care Minnesota P.C. (MedExpress Urgent Care - Andover, Bunker Lake Blvd NW)
- Allison Merriman, LMFT
- Kayla Middendorf, DC
- Rochelle Milbrath, CCC-SLP
- Milk Moms, Inc
- Milk Moms, Inc (Heather's Mastectomy Boutique)
- Samantha Nichole Mogen, LICSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.