MARIEL LEIGH GOETTSCH (NPI# 1902158132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902158132 |
| Entity Type | Individual |
| Full Name | MARIEL LEIGH GOETTSCH |
| Credential | OTR/L |
| Practice Address |
12400 Portland Ave Burnsville MN 55337-6868 |
| Mailing Address |
319 E 24th St Apt F34 Minneapolis MN 55404-3690 |
| Practice Telephone | 9528985700 |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 104228 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
12400 PORTLAND AVE |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-6868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871550376 | Rebecca Ann Rees | Physical Therapist | 12400 Portland Ave, Courage Kenny Rehabilitation Institute, Burnsville, MN 55337-6868 | 2006-04-27 |
| 1225483365 | Maria Leider | Physical Therapist | 12400 Portland Ave, Ste. 140, Burnsville, MN 55337-6868 | 2016-04-26 |
| 1194159905 | Megan Kim Gibson | Occupational Therapist | 12400 Portland Ave, Suite 140, Burnsville, MN 55337-6868 | 2013-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939397 | Alpha Quality Care1 L. L. C. | Home Infusion | 12924 18th Ave South, Burnsville, MN 55337 | 2020-07-13 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1952941254 | Noah Home Care Inc. | Home Health | 13521 Nicollet Lane, Burnsville, MN 55337 | 2020-01-14 |
| 1750854287 | Baraka Home Care LLC | Nursing Care | 1700 James Place, Burnsville, MN 55337 | 2019-01-08 |
| 1699298778 | Raphael Cheron-dittmann | Hearing Instrument Specialist | 14000 Nicollet Ave. S., Suite 303, Burnsville, MN 55337 | 2017-07-20 |
| 1669909818 | Mercy Home Care Ltd | Hospice Care, Community Based | 1020 E 146th St Ste 220d, Burnsville, MN 55337 | 2017-05-18 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1730542572 | Iris Reproductive Psychiatric Clinic | Clinical Nurse Specialist | 1500 Mcandrews Road W, Ste 227, Burnsville, MN 55337 | 2016-03-30 |
| 1740657204 | Mercy Link, LLC | Home Health | 13005 Salem Pl, Burnsville, MN 55337 | 2015-08-31 |
| 1669852158 | Mixa Dipak Patel | Physical Therapy Assistant | 8380 Hiawatha Ave, Eden Prairie, MN 55337 | 2015-06-01 |
| Find all providers in zip 55337 | ||||
| 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 |
|---|---|---|---|---|
| 1780236893 | Nichole Arn | Occupational Therapist | 14301 Ewing Avenue, Burnsville, MN 55306 | 2019-07-10 |
| 1972971745 | Jack Simonsen | Occupational Therapist | 2029 Southcross Dr W Apt 308, Burnsville, MN 55306-7929 | 2015-09-09 |
| 1497123558 | Angela Ault | Occupational Therapist | 1000 Walden Ct, Burnsville, MN 55337-3600 | 2015-09-07 |
| 1063633246 | Barbara A Fox | Occupational Therapist | 201 E. Nicollet Blvd, Burnsville, MN 55337 | 2007-05-02 |
| 1740344423 | Alka Mehra | Occupational Therapist | 405 Interlachen Ln, Burnsville, MN 55306-6435 | 2006-12-20 |
| 1467424341 | David M Nelson | Occupational Therapist | 172 Cobblestone Ln, Burnsville, MN 55337-4578 | 2006-02-03 |
| 1013559145 | Jens Prem Tamang | Occupational Therapist | 14101 Fairview Dr Ste 300, Burnsville, MN 55337-2537 | 2019-10-10 |
| 1649821927 | Morgan Kraus | Occupational Therapist | 14050 Nicollet Ave Ste 201, Burnsville, MN 55337-5738 | 2019-09-26 |
| 1063972396 | Megan Colette Smisek | Occupational Therapist | 14301 Ewing Ave S, Burnsville, MN 55306-4885 | 2019-03-22 |
| 1326518150 | Caitlin Marie Fortin | Occupational Therapist | 201 E Nicollet Blvd, Burnsville, MN 55337-5714 | 2018-12-05 |
| Find all providers in BURNSVILLE | ||||
| City | BURNSVILLE |
| Zip Code | 55337 |
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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.