MRS. MARY ROSE NORDLIE (NPI# 1073580502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073580502 |
| Entity Type | Individual |
| Full Name | MRS. MARY ROSE NORDLIE |
| Credential | OTR, CHT |
| Practice Address |
8100 Northland Dr Bloomington MN 55431-4800 |
| Mailing Address |
7600 W 84th St Bloomington MN 55438-1304 |
| Practice Telephone | 9528318742 |
| Mailing Telephone | 9529410228 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2019-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
100337 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | STATE OT LICENSE | 100337 | 01 |
| Street Address |
8100 NORTHLAND DR |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55431-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780150946 | Dillon Bruxvoort | Specialist/Technologist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2018-10-15 |
| 1619452026 | Julia Mcbrien | Occupational Therapist | 8100 Northland Dr, Bloomington, MN 55431 | 2018-10-02 |
| 1821508433 | Adam Jansen | Occupational Therapist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2017-10-09 |
| 1184148017 | Andrew Jacob Olson | Neuromusculoskeletal Medicine, Sports Medicine | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2017-08-02 |
| 1831629849 | Brianna Marie Bosma | Physical Therapist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2017-06-13 |
| 1740720283 | Joshua Michael Brodersen | Specialist/Technologist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2017-03-02 |
| 1629512124 | Lisa Marie Boberg | Specialist/Technologist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2016-12-19 |
| 1518411776 | Amy Haynes | Physical Therapist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2016-08-04 |
| 1659731222 | Connor Roach | Occupational Therapist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2016-02-25 |
| 1659744043 | Aimee Custer | Clinical Neuropsychologist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2015-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1760042253 | Adams Health Care Services, LLC | Registered Nurse | 10036 Washburn Ave S, Bloomington, MN 55431 | 2019-06-17 |
| 1851864755 | Hope Autism Center | Day Training, Developmentally Disabled Services | 9333 Penn Ave S, Bloomington, MN 55431 | 2019-01-03 |
| 1275006215 | Cameron Lee Small | Counselor | 9156 Vincent Ave S, Bloomington, MN 55431 | 2019-01-02 |
| 1497240469 | Mikayla Slegh | Behavior Technician | 8200 Humboldt Ave S Suite 100, Bloomington, MN 55431 | 2018-06-22 |
| 1073061552 | David Wells | Nurse Practitioner | 8100 Northland Dr., Bloomington, MN 55431 | 2016-09-14 |
| 1780033076 | Yasin Jama | Contractor | 9810 Drew Avenue South, Apartment 106, Bloomington, MN 55431 | 2016-06-07 |
| 1972961001 | Kadar Hadis | Social Worker | 8200 Humboldt Ave S Ste 217, Bloomington, MN 55431 | 2016-02-03 |
| 1063878908 | Amazing Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 9031 Penn Ave South Suite 100, Bloomington, MN 55431 | 2016-01-07 |
| 1093170136 | Kelsey Margaret Perreault | Chiropractor | 8120 Penn Ave. S., Suite 525, Bloomington, MN 55431 | 2015-12-16 |
| Find all providers in zip 55431 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619452026 | Julia Mcbrien | Occupational Therapist | 8100 Northland Dr, Bloomington, MN 55431 | 2018-10-02 |
| 1821508433 | Adam Jansen | Occupational Therapist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2017-10-09 |
| 1477856243 | Theresa Wiegand-swihart | Occupational Therapist | 639 S Walker St, Suite E, Bloomington, IN 47403-2123 | 2010-12-16 |
| 1255658241 | Erin Christine Hanrahan | Occupational Therapist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2010-04-29 |
| 1568584092 | Dina Marie Hirsch | Occupational Therapist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2007-04-04 |
| 1558340141 | Nancy Tokar | Occupational Therapist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205256484 | Eunjin Kim | Occupational Therapist | 3832 Hillsboro Ave N, New Hope, MN 55427-1613 | 2014-04-25 |
| 1326344912 | Gregory Lee Rife | Occupational Therapist | 10230 Baltimore St Ne, Blaine, MN 55449-4674 | 2011-01-31 |
| 1184817819 | Lynn Allison Hatfield | Occupational Therapist | 6515 Barrie Rd Ste 100, Edina, MN 55435-2305 | 2007-08-27 |
| 1720206618 | Patrice K. Schober-branigan | Occupational Therapist | 280 Smith Ave N Ste 100, Saint Paul, MN 55102-2424 | 2007-04-23 |
| 1457484917 | Corey Weston Mcgee | Occupational Therapist | 6363 France Ave. South, Suite 404, Edina, MN 55435 | 2007-03-13 |
| 1437225125 | Michelle Anne Reiner | Occupational Therapist | 2855 Campus Dr Ste 300, Plymouth, MN 55441 | 2006-11-27 |
| 1134217367 | Maureen C Scanlan | Occupational Therapist | 3294 Rolling Hills Dr, Eagan, MN 55121-2357 | 2006-10-11 |
| 1609964915 | Karolyn J Paulson | Occupational Therapist | 310 Smith Ave N Ste 360, Saint Paul, MN 55102-2383 | 2006-10-11 |
| 1649365628 | Aileen M Roberts | Occupational Therapist | 1425 Main St N, Pine City, MN 55063-6026 | 2006-10-04 |
| 1538254172 | Elizabeth Ann Mohror-hill | Occupational Therapist | 1500 Irving Street, Alexandria, MN 56308 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 55431 |
Please comment or provide details below to improve the information on MRS. MARY ROSE NORDLIE.
| 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.