Active NPI
Anita Vang, OTD, OTR/L
- Occupational Therapist
- Brooklyn Center, MN
National Provider Identifier
1952106007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 107651
- Practice address
- 6237 France Ave N
Brooklyn Center, MN 55429-4036 - Phone
- (763) 291-4737
- NPI assigned
- Feb 13, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 107651 | MN | Primary |
Addresses
Primary practice location
6237 France Ave N
Brooklyn Center, MN 55429-4036
Mailing address
6237 France Ave N
Brooklyn Center, MN 55429-4036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107651 | MN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739491200000",
"number": "1952106007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6237 FRANCE AVE N",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554294036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6237 FRANCE AVE N",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554294036",
"telephone_number": "763-291-4737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANG",
"first_name": "ANITA",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-13",
"last_updated": "2025-02-14",
"certification_date": "2025-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "107651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn Center, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.