Active NPI
Life Balance Inc
- Occupational Therapist
- Anoka, MN
National Provider Identifier
1972672756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 102845
- Legal business name
- LIFE BALANCE INC
- Practice address
- 22426 Saint Francis Blvd
Anoka, MN 55303-9670 - Phone
- (763) 753-2500
- Fax
- (763) 753-5999
- NPI assigned
- Nov 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Casey Snow, M.A. OT
- Title
- Ceo, Occupational Therapist
- Phone
- (763) 389-8951
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 102845 | MN | Primary |
Addresses
Primary practice location
22426 Saint Francis Blvd
Anoka, MN 55303-9670
Mailing address
30411 152ND St
Princeton, MN 55371-8507
Phone (763) 389-8951
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapy Assistant
- Anoka, MN
- NPI 1114060134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1972672756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30411 152ND ST",
"city": "PRINCETON",
"state": "MN",
"postal_code": "553718507",
"telephone_number": "763-389-8951",
"fax_number": "763-389-2962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22426 SAINT FRANCIS BLVD",
"city": "ANOKA",
"state": "MN",
"postal_code": "553039670",
"telephone_number": "763-753-2500",
"fax_number": "763-753-5999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE BALANCE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SNOW",
"authorized_official_first_name": "CASEY",
"authorized_official_title_or_position": "CEO, OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "763-389-8951",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.A. OT"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "MN",
"license": "102845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anoka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.