Evolution Therapy

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

License

101184 Issued in MN

Legal business name

EVOLUTION THERAPY

Practice address

2508 Edinbrook Ter
Brooklyn Park, MN 55443-3739

Phone

(651) 247-2126

NPI assigned

May 12, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Christina Lynn Spaeth-Harrer, OTR/L

Title

Lead OT

Phone

(651) 247-2126

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christina Lynn Spaeth, OTR/L

  • Pediatric Occupational Therapist
  • Brooklyn Park, MN
  • NPI 1508007642
  NPD (past)

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1902030471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 EDINBROOK TER",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433739",
            "telephone_number": "651-247-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 EDINBROOK TER",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433739",
            "telephone_number": "651-247-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "SPAETH-HARRER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "LEAD OT",
        "authorized_official_telephone_number": "651-247-2126",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "MN",
            "license": "101184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Najah Omar Erbob
• Mary Eloise Erickson, MD
• Rebecca Etler
• Camille Krashawn Eubanks
• Troy Michael Evenson, PA C
• Evolve Health and Wellness LLC
• Excel MRI, P.a.
• Excell Academy for Higher Learning
• Eye Klinic Inc (eyeklinic of edinburgh)
• Gadeeh Fahnbulleh, HOME MAKER

• Developmental Disabilities Clinic/Center in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Developmental Disabilities Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.