Individual provider Active NPI

Sharon Ahlswede, MOTR

  • Occupational Therapist
  • Forest Lake, MN
National Provider Identifier
1922403260
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
104982 Issued in MN
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

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Group Health, Inc. CurrentSince Aug 7, 2023 Accepting new patients
Group Health, Inc. Current Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Dec 26, 2025 Accepting new patients
Group Health, Inc. CurrentSince Aug 7, 2023 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.

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.

Verify at the official NPI Registry.