REBECCA M PARK (NPI# 1396858452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396858452 |
| Entity Type | Individual |
| Full Name | REBECCA M PARK |
| Credential | O.T. |
| Practice Address |
3400 W 66th St Suite 450 Edina MN 55435-2111 |
| Mailing Address |
4724 Oxborough Ct Brooklyn Park MN 55443-3995 |
| Practice Telephone | 9529082700 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 101848 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881092955 | Rebecca A. Park | Massage Therapist | 500 E Ski Hill Rd, Driggs, ID 83422 | 2014-12-05 |
| 1619391778 | Rebecca Park | Specialist/Technologist | 2125 S Floyd St, Louisville, KY 40292 | 2014-02-10 |
| Street Address |
3400 W 66TH ST SUITE 450 |
| City | EDINA |
| State | MN |
| Zip Code | 55435-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821094392 | Lisa T Ley | Physician Assistant | 3400 W 66th St, Ste 385, Edina, MN 55435-2197 | 2005-06-21 |
| 1033689674 | Nicholas Roffers | Speech-Language Pathologist | 3400 W 66th St, Edina, MN 55435-2111 | 2018-11-27 |
| 1003351156 | Lindsay Kuphal | Nurse Practitioner | 3400 W 66th St, Edina, MN 55435-2111 | 2016-12-28 |
| 1326410580 | Jody Bishop | Hearing Instrument Specialist | 3400 W 66th St, Ste 140, Edina, MN 55435-2109 | 2015-10-28 |
| 1730555889 | Danielle Bandholz | Nurse Practitioner | 3400 W 66th St, Suite 290, Edina, MN 55435-2111 | 2015-08-12 |
| 1780067033 | Katherine Marie Breezley | Registered Nurse | 3400 W 66th St, Edina, MN 55435-2111 | 2015-07-06 |
| 1861885881 | Connect Hearing, Inc. | Audiologist | 3400 W 66th St, Ste 140, Edina, MN 55435-2111 | 2015-03-16 |
| 1124419825 | Lauren Christine Bloomgren | Hearing Instrument Specialist | 3400 W 66th St, Suite 140, Edina, MN 55435-2111 | 2015-02-17 |
| 1346657160 | Fairview Health Services | Family Medicine | 3400 W 66th St, Suite 290, Edina, MN 55435-2111 | 2014-07-14 |
| 1821437955 | Sarah Watkins Lee | Registered Nurse | 3400 W 66th St, 290, Edina, MN 55435-2111 | 2013-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962840777 | Angela M Bronestine | Occupational Therapist | 55774 Mo-6, Edina, MO 63537 | 2013-06-13 |
| 1821303082 | Amanda Marie Lund | Occupational Therapist | 3400 W 66th St Ste 450, Edina, MN 55435-2196 | 2010-08-12 |
| 1821236027 | Sarah Oxendale | Occupational Therapist | 6515 Barrie Rd Ste 110, Edina, MN 55435-2305 | 2009-01-26 |
| 1053407171 | Joan Marie Collins | Occupational Therapist | 7373 France Avenue South, #509, Edina, MN 55435 | 2006-10-05 |
| 1558469668 | Judith Ann Harper-malecha | Occupational Therapist | 7250 France Ave S Ste 305, Edina, MN 55435-4313 | 2006-09-20 |
| 1174185136 | Kelly C Kueffer | Occupational Therapist | 6401 France Ave S, Edina, MN 55435-2199 | 2019-06-30 |
| 1184198871 | Kelly Brock | Occupational Therapist | 6700 France Ave S Ste 300, Edina, MN 55435-1908 | 2019-01-15 |
| 1396216370 | Catherine Xenakis | Occupational Therapist | 6401 France Ave S, Edina, MN 55435-2104 | 2018-12-17 |
| 1205306867 | Kari Hope Kjergaard | Occupational Therapist | 6515 Barrie Rd Ste 100, Edina, MN 55435-2364 | 2018-11-27 |
| 1538637640 | Kristin Hauser | Occupational Therapist | 6401 France Ave S, Edina, MN 55435-2104 | 2018-11-06 |
| Find all providers in EDINA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.