Active NPI
Amanda Kahring
- Occupational Therapist
- Minneapolis, MN
National Provider Identifier
1962869107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 104414
- Practice address
- 3700 Cedar Lake Ave
Minneapolis, MN 55416-4240 - Phone
- (612) 920-2030
- NPI assigned
- Jan 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 104414 | MN | Primary |
Addresses
Primary practice location
3700 Cedar Lake Ave
Minneapolis, MN 55416-4240
Mailing address
973 Bavaria Hills Cir
Chaska, MN 55318-2720
Phone (952) 380-6208
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 |
|---|---|---|---|
| 104414 | MN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1962869107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "973 BAVARIA HILLS CIR",
"city": "CHASKA",
"state": "MN",
"postal_code": "553182720",
"telephone_number": "952-380-6208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 CEDAR LAKE AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554164240",
"telephone_number": "612-920-2030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHRING",
"first_name": "AMANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-19",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "104414",
"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 Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.