Individual provider Active NPI

Hannah Zenisek

  • Occupational Therapist
  • Burnsville, MN
National Provider Identifier
1972299915
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
107149 Issued in MN
Practice address
172 Cobblestone LN
Burnsville, MN 55337-4578
Phone
(763) 201-8191
NPI assigned
Apr 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 107149 MN
Occupational Therapist 225X00000X 107149 MN Primary

Addresses

Primary practice location

172 Cobblestone LN
Burnsville, MN 55337-4578

Mailing address

14130 23Rd Ave N
Plymouth, MN 55447-4904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230502000426 MN Practitioner - Occupational Therapist in Private Practice 5193180826 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Spine and Pain Physicians PAGroup PAC ID 2466606264, 42 clinicians

Practice addresses (Care Compare)

172 Cobblestone LN
Burnsville, MN 55337-4578
Phone (763) 201-8191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kid Talk Inc CurrentSince Sep 26, 2024 Accepting new patients
Interventional Spine and Pain Physicians, PA Occupational Therapist CurrentSince Nov 1, 2024 Accepting new patients
Kid Talk Inc Pediatrics CurrentSince Sep 26, 2024 Accepting new patients
Physicians' Diagnostics & Rehabilitation,LTD Occupational Therapist CurrentSince Oct 20, 2024 Accepting new patients

Locations

172 Cobblestone Ln
Burnsville, MN 55337
Phone (952) 908-2710

320 Coon Rapids Blvd NW
Ste 100
Coon Rapids, MN 55433
Phone (952) 908-2580

916 Saint Peter Ave E
Delano, MN 55328
Phone (763) 972-9172

7700 France Ave S
Ste 240
Edina, MN 55435
Phone (952) 908-2700

9645 Grove Cir N
Ste 200
Maple Grove, MN 55369
Phone (763) 300-2193

7767 Elm Creek Blvd N
Ste 160
Maple Grove, MN 55369
Phone (763) 391-7522

9600 Upland Ln N
Ste 160
Maple Grove, MN 55369

1856 Beam Ave
#100
Maplewood, MN 55109

8758 Egan Dr
Savage, MN 55378
Phone (952) 226-2999

1772 Stieger Lake Ln
Victoria, MN 55386
Phone (952) 443-9888

Organizations & group practices 5

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": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1972299915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14130 23RD AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554474904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 COBBLESTONE LN",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374578",
            "telephone_number": "763-201-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENISEK",
        "first_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "107149",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "107149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.

Verify at the official NPI Registry.