Individual provider Active NPI

Jacqueline Ellen Geisler, OTR/L

  • Occupational Therapist
  • Minneapolis, MN
National Provider Identifier
1750528907
Registry record updated Jan 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
100024 Issued in MN
Practice address
800 E 28TH St
Abbott Northwestern Hospital, Sister Kenny Institute
Minneapolis, MN 55407-3723
Phone
(612) 863-4447
Fax
(612) 863-4263
NPI assigned
Jan 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2009

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 100024 MN Primary

Addresses

Primary practice location

800 E 28TH St
Abbott Northwestern Hospital, Sister Kenny Institute
Minneapolis, MN 55407-3723

Mailing address

800 East 28TH Street
Abbott Northwestern Hospital, Sister Kenny Institute
Minneapolis, MN 55407-3723
Phone (612) 863-4447

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
100024MNMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231459200000",
    "number": "1750528907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 EAST 28TH STREET",
            "address_2": "ABBOTT NORTHWESTERN HOSPITAL, SISTER KENNY INSTITUTE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073723",
            "telephone_number": "612-863-4447",
            "fax_number": "612-863-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 28TH ST",
            "address_2": "ABBOTT NORTHWESTERN HOSPITAL, SISTER KENNY INSTITUTE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073723",
            "telephone_number": "612-863-4447",
            "fax_number": "612-863-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEISLER",
        "first_name": "JACQUELINE",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "100024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.