Active NPI
Kelsey Marie Hogan
- Occupational Therapist
- Apple Valley, MN
National Provider Identifier
1982360988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0006807
- Practice address
- 15359 Founders LN
Apple Valley, MN 55124-6136 - Phone
- (563) 210-7339
- NPI assigned
- Nov 14, 2021
- 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 | 0006807 | CO | Primary |
Addresses
Primary practice location
15359 Founders LN
Apple Valley, MN 55124-6136
Mailing address
5141 198TH St W
Farmington, MN 55024-8415
Phone (563) 210-7339
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 |
|---|---|---|---|
| 0006807 | CO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742515200000",
"number": "1982360988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5141 198TH ST W",
"city": "FARMINGTON",
"state": "MN",
"postal_code": "550248415",
"telephone_number": "563-210-7339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15359 FOUNDERS LN",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551246136",
"telephone_number": "563-210-7339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "KELSEY",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-14",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "0006807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Apple Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.