MRS. KRISTIN SUZANNE SODERHOLM


Address: 1107 Hart Blvd, Monticello, MN 55362-8538
Phone: 7632956878

MRS. KRISTIN SUZANNE SODERHOLM (NPI# 1487931622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487931622
Entity Type Individual
Full Name MRS. KRISTIN SUZANNE SODERHOLM
Credential OTR
Practice Address 1107 Hart Blvd
Monticello
MN 55362-8538
Practice Telephone 7632956878
Practice Fax Number 7632716860
Mailing Telephone 7632956878
Mailing Fax Number 7632716860
Enumeration Date 2011-11-15
Last Update Date 2011-11-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 101509 MN Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1107 HART BLVD
City MONTICELLO
State MN
Zip Code 55362-8538

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538128731 Jennifer Lynn Fisher Occupational Therapist 1107 Hart Blvd, Monticello, MN 55362-8538 2006-03-17
1013437110 Evan Lucas Dyce Nurse Practitioner 1107 Hart Blvd, Monticello, MN 55362-8538 2017-06-21
1558897322 Neil De Cleene Physical Therapist 1107 Hart Blvd, Monticello, MN 55362-8538 2017-05-11
1598140881 Kristy Peterfeso Nurse Practitioner 1107 Hart Blvd, Monticello, MN 55362-8538 2015-07-28
1568845238 Kelsey J King Nurse Practitioner 1107 Hart Blvd, Monticello, MN 55362-8538 2015-06-30
1629484449 Thomas Lyscio Physical Therapist 1107 Hart Blvd, Suite 10, Monticello, MN 55362-8538 2014-07-02
1396159976 Shelly A..j. Neiman Nurse Practitioner 1107 Hart Blvd, Monticello, MN 55362-8538 2014-06-11
1467877688 Ali Margaret Wells Nurse Practitioner 1107 Hart Blvd, Monticello, MN 55362-8538 2014-02-25
1558600874 Centracare Health System-nr LLC Clinic/Center 1107 Hart Blvd, Monticello, MN 55362-8538 2013-02-06
1629240809 Karmyn Larson Occupational Therapist 1107 Hart Blvd, Suite 10, Monticello, MN 55362-8538 2008-03-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275034886 Great River Endodontics Dentist 9381 Cedar St., Monticello, MN 55362 2018-02-28
1467994962 Jessica Borgstrom Advanced Practice Midwife 1001 Hart Blvd #100, Monticello, MN 55362 2016-11-15
1972922078 Ashby Optometry PC Optometrist 1447 East 7th Street, Monticello, MN 55362 2014-04-16
1740612621 Sarah Rowe Physical Therapist 1260 Mn-25, Monticello, MN 55362 2013-08-02
1144573775 Kelley M Mcgowan Physical Therapist 211 Hwy 25, Monticello, MN 55362 2012-10-19
1275801581 Roger William Hedtke Pharmacist 135 East Broadway, Monticello, MN 55362 2011-12-01
1811299019 Pamela Marie Bertram Social Worker 228 W Broadway St, Monticello, MN 55362 2010-11-22
1265768220 Back 2 Health Chiropractic, P.a. Chiropractor 1125 South Cedar St, Suite 109, Monticello, MN 55362 2009-10-27
1538328059 Lakeland Family Dental Dentist 106 Broadway Street East, Monticello, MN 55362 2008-06-09
1205038163 Buffalo Dental Center Dentist 106 1 In A Half W Broadway, Monticello, MN 55362 2007-06-04
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Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518576966 Whitney Ann Mcknight Occupational Therapist 345 Mims Rd, Monticello, FL 32344-5613 2020-07-30
1417590522 Tincy Jordan Occupational Therapist 494 Meadowview Dr, Monticello, AR 71655-3818 2019-10-21
1942674007 William Taylor Middleton Occupational Therapist 1037 Scogin Dr, Monticello, AR 71655-9710 2015-11-30
1174916894 Regina Abbott Occupational Therapist 275 Dogwood Trl, Monticello, KY 42633-3816 2015-03-05
1659760387 Stephanie Roach Occupational Therapist 11858 N 900 W, Monticello, IN 47960-7801 2015-01-19
1437403722 Pamela Hanway Occupational Therapist 502 W Broadway St, Monticello, IN 47960-2005 2012-11-08
1922322791 Kenneth Errol Leeman Occupational Therapist 419 Great Oaks Blvd, Monticello, FL 32344-5933 2010-03-22
1750517942 Linda Coste Occupational Therapist 522 Southwoods Dr, Monticello, NY 12701-7231 2009-06-02
1205089919 Vicki Yvonne Basham Occupational Therapist 514 Lakepoint View Rd, Monticello, KY 42633-4466 2008-10-24
1144477928 Angie Sue Blevins Occupational Therapist 37 Beth Dr, Monticello, KY 42633-3807 2008-08-22
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City MONTICELLO
Zip Code 55362

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Dataset Information

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.

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