Michelle Kaye Beeler, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

103177 Issued in MN

Practice address

7250 France Avenue South
Suite 305 Capernaum Pediatric Therapy, Inc.
Edina, MN 55435-4305

Phone

(952) 285-2840

Fax

(952) 285-2830

NPI assigned

Apr 4, 2007

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

Other names 1

• Michelle Kaye Berg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Capernaum Pediatric Therapy, Inc.

  • Home Health Agency
  • Edina, MN
  • NPI 1336393297
  NPD (past)
• Capernaum Pediatric Therapy, Inc.

  • Specialist
  • Richfield, MN
  • NPI 1619978228
  NPD (past)
• Therapy Associates, Inc.

  • Speech-Language Pathologist
  • Isanti, MN
  • NPI 1366993412
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243900800000",
    "number": "1881716629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 FRANCE AVENUE SOUTH",
            "address_2": "SUITE 305 CAPERNAUM PEDIATRIC THERAPY, INC.",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354305",
            "telephone_number": "952-285-2840",
            "fax_number": "952-285-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 FRANCE AVENUE SOUTH",
            "address_2": "SUITE 305 CAPERNAUM PEDIATRIC THERAPY, INC.",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354305",
            "telephone_number": "952-285-2840",
            "fax_number": "952-285-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEELER",
        "first_name": "MICHELLE",
        "middle_name": "KAYE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2009-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "103177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "BERG",
            "middle_name": "KAYE",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Myra Pearline Becker, L.AC.
• Kathleen Ann Beckman, RN, CNP
• Lindsay G Bedeaux, DDS
• Kari Bednarczyk, OTR/L
• John T. Beecher, M.D.
• Gretchen Elizabeth Beer, DO, MBA
• Donn Kirk Beeson, MD
• Beginnings & Beyond Counseling LLC
• Jeffrey Victor Behar, MD
• Behavioral Management PA

• Pediatric Occupational Therapist in Edina, MN
• Providers in Edina, 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 Jun 2, 2009; 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.