Active NPI
Adrienne Ero-Phillips, MA, OTR/L
- Occupational Therapist
- Minneapolis, MN
National Provider Identifier
1962856500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 105070
- Practice address
- 3528 10TH Ave S
Minneapolis, MN 55407-3988 - Phone
- (320) 266-4304
- NPI assigned
- Apr 20, 2016
- 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 | 355386 | MN | |
| Occupational Therapist | 225X00000X | 105070 | MN | Primary |
Addresses
Primary practice location
3528 10TH Ave S
Minneapolis, MN 55407-3988
Mailing address
3333 University Ave SE
Minneapolis, MN 55414-3325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191105000628 | MN | Practitioner - Occupational Therapist in Private Practice | 3375875750 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105070 | MN | MD | Occupational Therapist |
| 355386 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midnight and Moonlight LLC | Current | Accepting new patients | |
| Fraser Child and Family Center | Current | Accepting new patients | |
| Fraser | Past | Accepting new patients |
Locations
3333 University Ave SE
Minneapolis, MN 55414
Phone (612) 253-1139
3441 Cedar Ave S
Minneapolis, MN 55407
Phone (612) 440-1450
Organizations & group practices 3
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Minneapolis, MN
- NPI 1609922194
-
- Rehabilitation Clinic/Center
- Richfield, MN
- NPI 1063568574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738713600000",
"number": "1962856500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 UNIVERSITY AVE SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554143325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3528 10TH AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554073988",
"telephone_number": "320-266-4304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERO-PHILLIPS",
"first_name": "ADRIENNE",
"credential": "MA, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-20",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "355386",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "105070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.