Active NPI
Ryan H Goeke, OT
- Occupational Therapist
- Burnsville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 103428
- Practice address
- 501 E Nicollet Blvd Ste 100
Burnsville, MN 55337-6772 - Phone
- (952) 435-8516
- NPI assigned
- Feb 23, 2007
- Sex
- Male
- 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 | 103428 | MN | Primary |
Addresses
Primary practice location
501 E Nicollet Blvd Ste 100
Burnsville, MN 55337-6772
Mailing address
501 E Nicollet Blvd Ste 100
Burnsville, MN 55337-6772
Phone (952) 435-8516
Other practice location 1
3400 W 66th St Ste 150
Edina, MN 55435-2109
Phone (952) 920-7200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 E Nicollet Boulevard
Suite 100 and Suite LL50
Burnsville, MN 55337-6749
Phone (952) 435-8516
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.39 of 100
- Quality
- 84.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 83.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103428 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minneapolis Clinic of Neurology, LTD | Current | Accepting new patients | |
| Laboratory Corportation of America Holdings | Past | Accepting new patients |
Locations
501 E Nicollet Blvd
Ste 100
Burnsville, MN 55337
Phone (952) 435-8516
3400 W 66th St
Ste 150
Minneapolis, MN 55435
Phone (952) 920-7200
4225 Golden Valley Rd
Minneapolis, MN 55422
Phone (612) 588-0661
Organizations & group practices 2
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.
-
- Neurology Physician
- Golden Valley, MN
- NPI 1992739247
-
- Clinical Medical Laboratory
- Edina, MN
- NPI 1316442478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645747200000",
"number": "1780710061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 E NICOLLET BLVD STE 100",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553376772",
"telephone_number": "952-435-8516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E NICOLLET BLVD STE 100",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553376772",
"telephone_number": "952-435-8516"
}
],
"practiceLocations": [
{
"address_1": "3400 W 66th St Ste 150",
"address_purpose": "LOCATION",
"city": "Edina",
"state": "MN",
"postal_code": "554352109",
"country_code": "US",
"telephone_number": "952-920-7200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOEKE",
"first_name": "RYAN",
"middle_name": "H",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2022-02-25",
"certification_date": "2022-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "103428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.