Individual provider Active NPI

Amanda E Kempenich, MSOT, OTR/L

  • Occupational Therapist
  • North St Paul, MN
National Provider Identifier
1790272763
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
106771 Issued in MN
Practice address
2344 Helen St N
North St Paul, MN 55109-2942
Phone
(651) 773-5988
NPI assigned
Apr 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Occupational Therapist 225X00000X 106771 MN Primary

Addresses

Primary practice location

2344 Helen St N
North St Paul, MN 55109-2942

Mailing address

14301 Ewing Ave S
Burnsville, MN 55306-4885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220421001753 MN Practitioner - Occupational Therapist in Private Practice 3173910197 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
106771MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Excellence Inc CurrentSince Mar 21, 2022 Accepting new patients

Locations

14301 Ewing Ave S
Burnsville, MN 55306
Phone (952) 746-0222

4255 Lexington Ave N
Saint Paul, MN 55126
Phone (651) 773-5988

2344 Helen St N
Saint Paul, MN 55109
Phone (651) 773-5988

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1790272763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14301 EWING AVE S",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553064885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 HELEN ST N",
            "city": "NORTH ST PAUL",
            "state": "MN",
            "postal_code": "551092942",
            "telephone_number": "651-773-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPENICH",
        "first_name": "AMANDA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "106771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North St Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.