Active NPI
Amanda Bresnahan, OTR/L
- Occupational Therapist
- Woodbury, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 106741
- Practice address
- Family Achievement Center
2101 Wooddale Dr, Ste a
Woodbury, MN 55125 - Phone
- (651) 738-9888
- Fax
- (651) 738-9889
- NPI assigned
- Jan 10, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 106741 | MN | Primary |
| Occupational Therapy Assistant | 224Z00000X | 201822 | MN |
Addresses
Primary practice location
Family Achievement Center
2101 Wooddale Dr, Ste a
Woodbury, MN 55125
Mailing address
Family Achievement Center
2101 Wooddale Dr, Ste a
Woodbury, MN 55125
Phone (651) 738-9888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H100206610 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201822 | MN | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Family Achievement Center Inc. | Occupational Therapy Assistant | Current | Accepting new patients |
| Healtheast Outpatient Services, LLC | Occupational Therapist | Current | Accepting new patients |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Health Services | Past | Accepting new patients | |
| The Madison Center | Past | Accepting new patients |
Locations
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
9220 Bass Lake Rd
Ste 260
New Hope, MN 55428
Phone (763) 533-0363
2101 Wooddale Dr
Ste A
Woodbury, MN 55125
Phone (651) 738-9888
1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Physical Therapist
- Saint Paul, MN
- NPI 1225382526
Occupational Therapist
-
- Pain Medicine Physician
- Wyoming, MN
- NPI 1386193613
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- Occupational Therapist
- Woodbury, MN
- NPI 1952411175
Occupational Therapy Assistant
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Speech-Language Pathologist
- Excelsior, MN
- NPI 1083832158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1891032827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FAMILY ACHIEVEMENT CENTER",
"address_2": "2101 WOODDALE DR, STE A",
"city": "WOODBURY",
"state": "MN",
"postal_code": "55125",
"telephone_number": "651-738-9888",
"fax_number": "651-738-9889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FAMILY ACHIEVEMENT CENTER",
"address_2": "2101 WOODDALE DR, STE A",
"city": "WOODBURY",
"state": "MN",
"postal_code": "55125",
"telephone_number": "651-738-9888",
"fax_number": "651-738-9889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRESNAHAN",
"first_name": "AMANDA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-10",
"last_updated": "2022-10-06",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "106741",
"primary": true
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MN",
"license": "201822",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "H100206610",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.