Active NPI
Kaitlin Clawson, OTR/L
- Occupational Therapist
- Brooklyn Park, MN
National Provider Identifier
1942845789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 105382
- Practice address
- 5200 Oak Grove Pkwy N
Brooklyn Park, MN 55443-4031 - Phone
- (763) 493-7000
- NPI assigned
- Nov 15, 2019
- Last updated
- Jun 27, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Occupational Therapist | 225X00000X | 105382 | MN | Primary |
Addresses
Primary practice location
5200 Oak Grove Pkwy N
Brooklyn Park, MN 55443-4031
Mailing address
112114 Haering Cir
Chaska, MN 55318-1416
Phone (952) 594-4052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Saint Louis Park, MN 55416
Phone (952) 283-2206
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascend Rehab, LLC | Current | Accepting new patients |
Locations
1660 Highway 100 S
Ste 103
St Louis Park, MN 55416
Phone (952) 283-2206
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- St Louis Park, MN
- NPI 1437403110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1942845789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112114 HAERING CIR",
"city": "CHASKA",
"state": "MN",
"postal_code": "553181416",
"telephone_number": "952-594-4052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 OAK GROVE PKWY N",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554434031",
"telephone_number": "763-493-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAWSON",
"first_name": "KAITLIN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-15",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "105382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn Park, MN
- Children's Clinic Network (Children's Brooklyn Park Clinic)
- Children's Home Society & Family Services
- Joel C Chopin
- Ashley Christianson, LPCC, LADC
- Sheri Marie Cindrich, CPRS
- CLD - Brooklyn Park MN, LLC (Clear Lakes Dental)
- Timothy Allen Clem, DO
- Chad Alan Clementson, D.C.
- Code Care LLC
- Kami Colberg
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.