Active NPI
Whitney Harris, OTRL
- Pediatric Occupational Therapist
- Edina, MN
National Provider Identifier
1801386115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 107078
- Practice address
- 3300 Edinborough Way Ste 207
Edina, MN 55435-6001 - Phone
- (952) 204-5523
- NPI assigned
- May 11, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 18694 | CA | |
| Pediatric Occupational Therapist | 225XP0200X | 107078 | MN | Primary |
Addresses
Primary practice location
3300 Edinborough Way Ste 207
Edina, MN 55435-6001
Mailing address
1169 Meadowbrook Rd
Altadena, CA 91001-3133
Phone (323) 644-9380
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
| License | State | Type | Specialty |
|---|---|---|---|
| 107078 | MN | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journey Pediatric Therapy LLC | Current | Accepting new patients | |
| Smile Pediatric Speech Therapy & Diagnostics Inc. | Past | Accepting new patients | |
| Capernaum Pediatric Therapy, Inc. | Past | Accepting new patients |
Locations
3300 Edinborough Way
Ste 207
Edina, MN 55435
Phone (952) 204-5523
Organizations & group practices 3
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.
-
- Speech-Language Pathologist
- Edina, MN
- NPI 1730750159
-
- Specialist
- Richfield, MN
- NPI 1619978228
-
- Speech-Language Pathologist
- Los Angeles, CA
- NPI 1265663900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1801386115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1169 MEADOWBROOK RD",
"city": "ALTADENA",
"state": "CA",
"postal_code": "910013133",
"telephone_number": "323-644-9380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 EDINBOROUGH WAY STE 207",
"city": "EDINA",
"state": "MN",
"postal_code": "554356001",
"telephone_number": "952-204-5523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "WHITNEY",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-11",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "18694",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MN",
"license": "107078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.