Roots to Wings, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

102635 Issued in MN

Legal business name

ROOTS TO WINGS, LLC

Practice address

2354 Field Stone CT
Mendota Heights, MN 55120-1917

Phone

(651) 206-1034

NPI assigned

Nov 27, 2011

Last updated

Nov 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jo Anne Tierney, OTR/L

Title

Occupational Therapist, Licensed

Phone

(651) 206-1034

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1322352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322352000000",
    "number": "1902173503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2354 FIELD STONE CT",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201917",
            "telephone_number": "651-206-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2354 FIELD STONE CT",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201917",
            "telephone_number": "651-206-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS TO WINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-27",
        "last_updated": "2011-11-27",
        "status": "A",
        "authorized_official_last_name": "TIERNEY",
        "authorized_official_first_name": "JO ANNE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST, LICENSED",
        "authorized_official_telephone_number": "651-206-1034",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "102635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Pearl Roberts
• Grace Robertson
• Hibak Hassan Roble, LGSW
• Haley Rogers
• Patricia J Rogers, LICSW
• Sheryl Ruth Rorvig, L.I.C.S.W.
• Wendy Rossmiller, RPH
• Megan Louise Rothberg
• Paul Ruder, PHARMD
• Sydney Ruhland

• Occupational Therapist in Mendota Heights, MN
• Providers in Mendota Heights, 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 27, 2011; 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.