Individual provider Active NPI

Tessa Lindberg, OTR/L

  • Occupational Therapist
  • Bemidji, MN
National Provider Identifier
1942727045
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
105469 Issued in MN
Practice address
3835 Supreme CT NW Ste 2
Bemidji, MN 56601-4485
Phone
(218) 444-8280
Fax
(218) 444-8337
NPI assigned
Aug 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 105469 MN Primary

Addresses

Primary practice location

3835 Supreme CT NW Ste 2
Bemidji, MN 56601-4485

Mailing address

17535 Pine Haven Dr NW Unit 2
Pinewood, MN 56676-4722

Other names 1

  • Tessa Richards Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211104001930 MN Practitioner - Occupational Therapist in Private Practice 3375931769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choice Therapy, P.a.Group PAC ID 7618022930, 39 clinicians

Practice addresses (Care Compare)

3835 Supreme CT NW
Suite 2
Bemidji, MN 56601-4485
Phone (218) 444-8280

Merit-based Incentive Payment System (MIPS)

Final score
77.79 of 100Reported as group
Quality
71.6
Improvement activities
40
Cost
73.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Therapy, P.a. Occupational Therapist CurrentSince Mar 22, 2022 Accepting new patients

Locations

118 Central St W
Bagley, MN 56621
Phone (218) 694-3030

3835 Supreme Ct NW
Ste 2
Bemidji, MN 56601
Phone (218) 441-5232

Organizations & group practices 1

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": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1942727045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17535 PINE HAVEN DR NW UNIT 2",
            "city": "PINEWOOD",
            "state": "MN",
            "postal_code": "566764722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 SUPREME CT NW STE 2",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014485",
            "telephone_number": "218-444-8280",
            "fax_number": "218-444-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDBERG",
        "first_name": "TESSA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "105469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESSA",
            "last_name": "RICHARDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.