Stephen Thomas Root, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

102626 Issued in MN

Practice address

1661 Park Ridge Dr
Chaska, MN 55318-2841

Phone

(952) 403-3980

Fax

(952) 403-3979

NPI assigned

Jun 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841497096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 2ND ST",
            "address_2": "APT#B2",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553311967",
            "telephone_number": "952-403-3923",
            "fax_number": "952-403-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 PARK RIDGE DR",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182841",
            "telephone_number": "952-403-3980",
            "fax_number": "952-403-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOT",
        "first_name": "STEPHEN",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "102626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Rivard, BA
• Erin Roberts
• Margaret Roberts, LMFT
• Melanie Rodgers
• Abby Rohlik
• Rebecca Ann Rosdahl, PHARMD
• Alexander Ross, PHARMD
• Maura Collins Ross, CNP
• Sarah Adele Roth, MSW, LICSW
• Brittney Royer

• Occupational Therapist in Chaska, MN
• Providers in Chaska, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.