Kathleen Engebretson, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

100087 Issued in MN

Practice address

3514 Lyndale Ave N
Minneapolis, MN 55412-2558

Phone

(612) 803-5038

Fax

(763) 559-7706

NPI assigned

Nov 1, 2021

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)

Not enrolled

State licenses

Practice roles

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.

• Midwest Mobile Fees Assessments

  • Speech-Language Pathologist
  • Minneapolis, MN
  • NPI 1396167987
  NPD

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1881359362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 LYNDALE AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554122558",
            "telephone_number": "612-803-5038",
            "fax_number": "763-559-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 LYNDALE AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554122558",
            "telephone_number": "612-803-5038",
            "fax_number": "763-559-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEBRETSON",
        "first_name": "KATHLEEN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "100087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Lynn Engdahl, RN
• Nathaniel Allen Enge
• Anitra W Engebretson, RN
• Erik A Engebretson, M.D.
• Jamie Leigh Engebretson, PT
• Brian James Engel, DC
• Erin Elizabeth Engel, DPT
• Kevin C Engel, MD
• Margaret Engel, RN
• Melissa S Engel, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.