Individual provider Active NPI

Elizabeth Grace Locnikar, MS, OTR, ATC

  • Occupational Therapist
  • Sartell, MN
National Provider Identifier
1831343979
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
103668 Issued in MN
Practice address
1901 Connecticut Avenue South
Sartell, MN 56377
Phone
(320) 259-4141
Fax
(320) 257-7811
NPI assigned
Nov 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 24-00476 KS
Athletic Trainer 2255A2300X 2136 MN
Occupational Therapist 225X00000X 103668 MN Primary

Addresses

Primary practice location

1901 Connecticut Avenue South
Sartell, MN 56377

Mailing address

1901 Connecticut Avenue South
Sartell, MN 56377
Phone (320) 259-4141

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090213000099 MN Practitioner - Occupational Therapist in Private Practice 4789749433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Cloud Orthopedic Associates LTDGroup PAC ID 0143113951, 44 clinicians

Practice addresses (Care Compare)

1901 Connecticut Ave S
Sartell, MN 56377-2554
Phone (320) 259-4100

Merit-based Incentive Payment System (MIPS)

Final score
82.31 of 100Reported as group
Quality
74.55
Promoting interoperability
79
Improvement activities
40
Cost
83.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
103668MNMDGastroenterology Physician
24-00476KSMDAthletic Trainer
2136MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
St. Cloud Orthopedic Associates, LTD. Occupational Therapist CurrentSince Nov 17, 2008 Accepting new patients

Locations

1901 Connecticut Ave S
Sartell, MN 56377
Phone (320) 259-4100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1831343979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 CONNECTICUT AVENUE SOUTH",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "56377",
            "telephone_number": "320-259-4141",
            "fax_number": "320-257-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 CONNECTICUT AVENUE SOUTH",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "56377",
            "telephone_number": "320-259-4141",
            "fax_number": "320-257-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCNIKAR",
        "first_name": "ELIZABETH",
        "middle_name": "GRACE",
        "credential": "MS, OTR, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-14",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KS",
            "license": "24-00476",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "2136",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "103668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.