Individual provider Active NPI

Kristin Marie Binnicker, OTR

  • Occupational Therapist
  • Hopkins, MN
National Provider Identifier
1811234420
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
11594 Issued in CA
Practice address
700 5TH St S
Hopkins, MN 55343-7764
Phone
(952) 993-6087
NPI assigned
Jan 16, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 11594 CA Primary

Addresses

Primary practice location

700 5TH St S
Hopkins, MN 55343-7764

Mailing address

7608 Camino Abierto
Carlsbad, CA 92009-6947
Phone (480) 794-0955

Other identifiers 1

IdentifierTypeStateIssuer
11594OtherCAOCCUPATIONAL THERAPIST LICENSE NUMBER

Other names 1

  • Kristin Kanter Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
11594CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
In-Home Physical Therapy PC PastSince Nov 1, 2019 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1811234420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7608 CAMINO ABIERTO",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920096947",
            "telephone_number": "480-794-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 5TH ST S",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437764",
            "telephone_number": "952-993-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINNICKER",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "11594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPIST LICENSE NUMBER",
            "identifier": "11594",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "KANTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hopkins, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.