Active NPI
Debbie M Kalish, MOTR
- Occupational Therapist
- Shakopee, MN
National Provider Identifier
1902951403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 101025
- Practice address
- 1515 Saint Francis Ave
Suite 140
Shakopee, MN 55379-3387 - Phone
- (952) 403-2001
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 101025 | MN | Primary |
Addresses
Primary practice location
1515 Saint Francis Ave
Suite 140
Shakopee, MN 55379-3387
Mailing address
17080 Judicial Rd
Lakeville, MN 55044-7627
Phone (612) 386-8033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101025 | MN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902951403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17080 JUDICIAL RD",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550447627",
"telephone_number": "612-386-8033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 SAINT FRANCIS AVE",
"address_2": "SUITE 140",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553793387",
"telephone_number": "952-403-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALISH",
"first_name": "DEBBIE",
"middle_name": "M",
"credential": "MOTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "101025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shakopee, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.