Active NPI
Ciara Marie Hildebrandt, OTD, OTR/L
- Occupational Therapist
- Brooklyn Park, MN
National Provider Identifier
1831899947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 106995
- Practice address
- 9400 Zane Ave N
Brooklyn Park, MN 55443-1814 - Phone
- (952) 826-8475
- NPI assigned
- Mar 7, 2023
- Last updated
- Mar 7, 2023
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 106995 | MN | Primary |
Addresses
Primary practice location
9400 Zane Ave N
Brooklyn Park, MN 55443-1814
Mailing address
9400 Zane Ave N
Brooklyn Park, MN 55443-1814
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
| License | State | Type | Specialty |
|---|---|---|---|
| 106995 | MN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairiecare LLC | Past | 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": "1678147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1831899947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9400 ZANE AVE N",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554431814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9400 ZANE AVE N",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554431814",
"telephone_number": "952-826-8475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILDEBRANDT",
"first_name": "CIARA",
"middle_name": "MARIE",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-07",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "106995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.