Taylor Ann Koopmeiners
Individual provider Active NPI Occupational Therapist · Eden Valley, MN
NPI 1801412366 · NPPES record last updated Sep 6, 2024
Key facts
- NPI
- 1801412366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 6092 (MN)
- Practice address
- 298 Brooks St N
Eden Valley, MN 55329-1209 - Phone
- (320) 453-2990
- NPI assigned
- Jun 21, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6092 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northway Academy, Inc. | Past |
Accepting new patients | |
| Northway Academy, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Occupational Therapist | 225X00000X | 6092 | MN | Yes |
Addresses
Primary practice location
298 Brooks St N
Eden Valley, MN 55329-1209
Mailing address
298 Brooks St N
Eden Valley, MN 55329-1209
Phone (320) 453-2990
Other practice location 1
108 Doctors Park
Saint Cloud, MN 56303-1207
Phone (320) 774-3915
Other practice location 2
205 14th Ave E
Sartell, MN 56377-4500
Phone (320) 774-3436
Other providers in Eden Valley, MN
- Kandis Kay Blomker
- Centracare Health-Paynesville LLC
- Cheryl'S Nursing Pool, Inc.
- Independent School Dist 463 Meeker County
- Carrie Ann Mueller
- Paynesville Area Hospital District
- Todds Place LLC
- Krista Tri
All providers in Eden Valley, MN · Occupational Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.