Deborah Hametz Mintz, OT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

102980 Issued in MN

Practice address

4330 Cedar Lake Rd S
St Louis Park, MN 55416-3700

Phone

(952) 381-3434

Fax

(952) 377-1430

NPI assigned

Jun 13, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1982864880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 W 25TH ST",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554163840",
            "telephone_number": "952-381-3434",
            "fax_number": "952-377-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 CEDAR LAKE RD S",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554163700",
            "telephone_number": "952-381-3434",
            "fax_number": "952-377-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTZ",
        "first_name": "DEBORAH",
        "middle_name": "HAMETZ",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "102980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minnesota Chirohealth of West End LLC
• Minnesota Medical and Rehabilitative Services, LLC
• Minnesota Orthopedics PA
• Minor Medical Squad PLLC
• Nicholas Alexander Minotte
• Minute Health LLC
• Miracle Mile Dentistry PA
• Jacob Isaac Mirman, M.D.
• Megan A. Misgen, CNP
• Shardendu Mishra, MBBS

• Pediatric Occupational Therapist in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Pediatric Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.