Madison Kay Gutknecht

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

202570 Issued in MN

Practice address

200 E Burnsville Pkwy Unit 1305
Burnsville, MN 55337-6677

Phone

(763) 229-4602

NPI assigned

Feb 21, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1932854601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E BURNSVILLE PKWY UNIT 1305",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376677",
            "telephone_number": "763-229-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E BURNSVILLE PKWY UNIT 1305",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376677",
            "telephone_number": "763-229-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTKNECHT",
        "first_name": "MADISON",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MN",
            "license": "202570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shukri Gure
• Salma Gureye
• Audrey Wells Gurule, MD
• Shirley Guse, MD
• Viorel Guter, MD
• Lauren Elizabeth Gutshall, PT, DPT, SCS, ATC
• Nancy L. Guttormson, M.D.
• Manuel Jose Guzman-Paz, MD
• Anna Haan, OTR
• Tiffany Ann Habben, D.O.

• Occupational Therapy Assistant in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Occupational Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.