Sandra Klein-Mirviss

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

100103 Issued in MN

Practice address

1501 Xerxes Ave N
2438 18TH. Avenue South
Minneapolis, MN 55411-2851

Phone

(612) 721-5551

Fax

(612) 721-3290

NPI assigned

Jan 14, 2010

Sex

Female

Sole proprietor

No

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)

Enrolled

Practice roles

Locations

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.

• The Family Partnership

  • Community/Behavioral Health Agency
  • Minneapolis, MN
  • NPI 1487708616
  NPD

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1841521804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 XERXES AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554112851",
            "telephone_number": "612-728-2061",
            "fax_number": "612-728-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 XERXES AVE N",
            "address_2": "2438 18TH. AVENUE SOUTH",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554112851",
            "telephone_number": "612-721-5551",
            "fax_number": "612-721-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN-MIRVISS",
        "first_name": "SANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "100103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison M Kleefisch
• Briar J Kleeman, M.A., CCC-SLP
• Anne Naleen Klees
• Maggie Klefsaas, LMFT
• Karen Kleiman, MD
• Bradley David Klein
• Cynthia Jill Klein, MSW, LCSW LICSW
• David William Klein, D.D.S.
• Debra Klein
• Esie Rachel Klein, PT

• Pediatric Occupational Therapist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Pediatric Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.