NPIMap

Nicole Akerson, OTR/L

Individual provider Active NPI Occupational Therapist · Sartell, MN

NPI 1790366334 · NPPES record last updated Apr 7, 2022

Key facts

NPI
1790366334
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
Practice address
111 2ND St S
Sartell, MN 56377-1917
Phone
(320) 281-3339
NPI assigned
Apr 15, 2021
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20211007003551 MN Practitioner - Occupational Therapist in Private Practice 7719385582 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Sartell Pediatrics, P.a. Current
since Jul 1, 2021		 Accepting new patients

Locations

111 2nd St S
Sartell, MN 56377
Phone (320) 281-3339

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12435/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Yes

Addresses

Primary practice location

111 2ND St S
Sartell, MN 56377-1917

Mailing address

111 2ND St S
Sartell, MN 56377-1917
Phone (320) 281-3339

Other names

  • Nicole Schulz Former name

Other providers in Sartell, MN

All providers in Sartell, MN · Occupational Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.