Active NPI
Sharon Ahlswede, MOTR
- Occupational Therapist
- Forest Lake, MN
National Provider Identifier
1922403260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 104982
- Practice address
- 146 Lake St N Ste 200
Forest Lake, MN 55025-2555 - Phone
- (651) 275-4706
- Fax
- (651) 770-1180
- NPI assigned
- Oct 29, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5547 | WI | |
| Occupational Therapist | 225X00000X | 11293688-4201 | UT | |
| Occupational Therapist | 225X00000X | 104982 | MN | Primary |
Addresses
Primary practice location
146 Lake St N Ste 200
Forest Lake, MN 55025-2555
Mailing address
1939 Minnehaha Ave W Ste 300
Saint Paul, MN 55104-1033
Phone (651) 748-4338
Other practice location 1
709 Rivard St
Somerset, WI 54025-1402
Phone (651) 275-4706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150129002548 | WI | Practitioner - Occupational Therapist in Private Practice | 8820312432 | Reassigns benefits to 2 organizations |
| I20220316002862 | MN | Practitioner - Occupational Therapist in Private Practice | 8820312432 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Past | Accepting new patients |
Locations
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Stillwater, MN
- NPI 1245608454
-
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
-
- Rural Health Clinic/Center
- Clear Lake, WI
- NPI 1366878449
-
- Rural Health Clinic/Center
- Turtle Lake, WI
- NPI 1538384466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672185600000",
"number": "1922403260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1939 MINNEHAHA AVE W STE 300",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551041033",
"telephone_number": "651-748-4338",
"fax_number": "651-748-2892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 LAKE ST N STE 200",
"city": "FOREST LAKE",
"state": "MN",
"postal_code": "550252555",
"telephone_number": "651-275-4706",
"fax_number": "651-770-1180"
}
],
"practiceLocations": [
{
"address_1": "709 Rivard St",
"address_purpose": "LOCATION",
"city": "Somerset",
"state": "WI",
"postal_code": "540251402",
"country_code": "US",
"telephone_number": "651-275-4706",
"fax_number": "715-247-5738",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHLSWEDE",
"first_name": "SHARON",
"credential": "MOTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-29",
"last_updated": "2022-12-28",
"certification_date": "2022-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "5547",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "UT",
"license": "11293688-4201",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "104982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.