Individual provider Active NPI

Adrienne Ero-Phillips, MA, OTR/L

  • Occupational Therapist
  • Minneapolis, MN
National Provider Identifier
1962856500
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
105070 Issued in MN
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

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
105070MNMDOccupational Therapist
355386MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Midnight and Moonlight LLC CurrentSince Jul 28, 2025 Accepting new patients
Fraser Child and Family Center CurrentSince Dec 1, 2021 Accepting new patients
Fraser PastSince Dec 1, 2021 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.

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.

Verify at the official NPI Registry.