NPIMap

Organization Active NPI

Children'S Therapy Works, Inc

  • Occupational Therapist
  • Saint Cloud, MN
National Provider Identifier
1811077977
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
102487 Issued in MN
Legal business name
CHILDREN'S THERAPY WORKS, INC
Practice address
2653 County Road 74
Saint Cloud, MN 56301-2205
Phone
(320) 229-4069
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Authorized official

Name
Mrs. Amy Kelly Danielson Krippner, OTRLNPI 1134212707
Title
President
Phone
(320) 420-4080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 102487 MN Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 379363 MN

Addresses

Primary practice location

2653 County Road 74
Saint Cloud, MN 56301-2205

Mailing address

312 4TH St SW Ste 11
Willmar, MN 56201-3332
Phone (320) 214-7082

Other practice location 1

312 4th St SW Ste 11
Willmar, MN 56201-3332
Phone (320) 214-7082

Other identifiers 1

IdentifierTypeStateIssuer
412M2CHOtherMNBC/BS BUSINESS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070207000121 MN Part B Supplier - Clinic/Group Practice 9032111885 Receives reassigned benefits from 10 practitioners
Practice locations: Saint Cloud, MN

National Provider Directory

National Provider Directory

Locations

312 4th St SW
Ste 11
Willmar, MN 56201
Phone (320) 214-7082

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1811077977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 4TH ST SW STE 11",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013332",
            "telephone_number": "320-214-7082",
            "fax_number": "320-235-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2653 COUNTY ROAD 74",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563012205",
            "telephone_number": "320-229-4069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 4th St SW Ste 11",
            "address_purpose": "LOCATION",
            "city": "Willmar",
            "state": "MN",
            "postal_code": "562013332",
            "country_code": "US",
            "telephone_number": "320-214-7082",
            "fax_number": "320-235-8059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILDREN'S THERAPY WORKS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "DANIELSON KRIPPNER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-420-4080",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "102487",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "379363",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS BUSINESS",
            "identifier": "412M2CH",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.