Inspire Independence Therapy LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

INSPIRE INDEPENDENCE THERAPY LLC

Practice address

20527 130TH Ave SE
Red Lake Falls, MN 56750-8804

Phone

(218) 686-4054

NPI assigned

Aug 24, 2026

Organization subpart

No

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

Authorized official

Name

Lacey Konickson, MOT, OTR/L, CLT

Title

Managing Member/Owner

Phone

(218) 686-4054

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1801703152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20527 130TH AVE SE",
            "city": "RED LAKE FALLS",
            "state": "MN",
            "postal_code": "567508804",
            "telephone_number": "218-686-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20527 130TH AVE SE",
            "city": "RED LAKE FALLS",
            "state": "MN",
            "postal_code": "567508804",
            "telephone_number": "218-686-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRE INDEPENDENCE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "KONICKSON",
        "authorized_official_first_name": "LACEY",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "218-686-4054",
        "authorized_official_credential": "MOT, OTR/L, CLT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Red Lake Falls, MN
• Providers in Red Lake Falls, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.