Individual provider Active NPI

David Paul L'Allier

  • Environmental Modification Occupational Therapy Assistant
  • Brooklyn Park, MN
National Provider Identifier
1841875986
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Environmental Modification Occupational Therapy AssistantTaxonomy code 224ZE0001X
License
201897 Issued in MN
Practice address
9548 Knox Ave N
Brooklyn Park, MN 55444-1130
Phone
(651) 747-7943
NPI assigned
Mar 10, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Environmental Modification Occupational Therapy Assistant 224ZE0001X
Environmental Modification Occupational Therapy Assistant 224ZE0001X 201897 MN Primary

Addresses

Primary practice location

9548 Knox Ave N
Brooklyn Park, MN 55444-1130

Mailing address

PO Box 624
Hastings, MN 55033-0624
Phone (651) 747-7943

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address david@threeriversassessments.com

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

LicenseStateTypeSpecialty
201897MNMDEnvironmental Modification Occupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1841875986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 624",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550330624",
            "telephone_number": "651-747-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9548 KNOX AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554441130",
            "telephone_number": "651-747-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "L'ALLIER",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-10",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Environmental Modification",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224ZE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Environmental Modification",
            "state": "MN",
            "license": "201897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david@threeriversassessments.com",
            "affiliation": "N",
            "address_1": "1419 Liddle Ln",
            "city": "Hastings",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550338580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Feb 9, 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.

Verify at the official NPI Registry.