Active NPI
Tara Thompson
- Environmental Modification Occupational Therapy Assistant
- Cottage Grove, MN
National Provider Identifier
1821933417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Environmental Modification Occupational Therapy Assistant
- License
- 202600
- Practice address
- 7362 E Point Douglas Rd S
Cottage Grove, MN 55016-3025 - Phone
- (651) 246-1249
- NPI assigned
- Apr 21, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Environmental Modification Occupational Therapy Assistant | 224ZE0001X | 202600 | MN | Primary |
Addresses
Primary practice location
7362 E Point Douglas Rd S
Cottage Grove, MN 55016-3025
Mailing address
1311 Cleveland Ave N
Saint Paul, MN 55108-1828
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 |
|---|---|---|---|
| 202600 | MN | MD | Environmental Modification Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1821933417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 CLEVELAND AVE N",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551081828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7362 E POINT DOUGLAS RD S",
"city": "COTTAGE GROVE",
"state": "MN",
"postal_code": "550163025",
"telephone_number": "651-246-1249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "TARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-21",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "224ZE0001X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant, Environmental Modification",
"state": "MN",
"license": "202600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cottage Grove, MN
- True Jacob Thao, MSW
- The Bridge: Counseling, Psychotherapy, and Wellness
- The Village Therapy and Development Center LLC
- The Wellness Way Cottage Grove LLC
- Annika Marie Theurer
- Kaitlyn Tittle
- Jessica Torrey, MSW, LICSW
- Total Renal Care Inc (Cottage Grove Dialysis)
- Richard P Treharne, DDS
- Triple Angels Healthcare Incorporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.