Individual provider Active NPI

Nebiyu Ashagre

  • Occupational Therapist
  • Saint Paul, MN
National Provider Identifier
1992485577
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
111 Kellogg Blvd E Apt 3007
Saint Paul, MN 55101-1228
Phone
(651) 274-7262
NPI assigned
Jul 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

111 Kellogg Blvd E Apt 3007
Saint Paul, MN 55101-1228

Mailing address

111 Kellogg Blvd E Apt 3007
Saint Paul, MN 55101-1228
Phone (651) 274-7262

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

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Care Providers LLC CurrentSince Aug 13, 2023 Accepting new patients

Locations

7132 Portland Ave
Richfield, MN 55423
Phone (651) 217-3637

Organizations & group practices 1

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": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1992485577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 KELLOGG BLVD E APT 3007",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011228",
            "telephone_number": "651-274-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 KELLOGG BLVD E APT 3007",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011228",
            "telephone_number": "651-274-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHAGRE",
        "first_name": "NEBIYU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.