KATIE MARIE HAFERMAN (NPI# 1306145081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306145081 |
| Entity Type | Individual |
| Full Name | KATIE MARIE HAFERMAN |
| Other Name | KATIE MARIE FILL |
| Credential | OTR/L |
| Practice Address |
8290 University Ave Ne Ste 200 Fridley MN 55432-1876 |
| Mailing Address |
4200 Dahlberg Dr Ste 300 Golden Valley MN 55422-4841 |
| Practice Telephone | 7637869543 |
| Practice Fax Number | 7637863320 |
| Mailing Telephone | 9525125600 |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2019-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 5269-26 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225X00000X | Occupational Therapist | 104081 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
8290 UNIVERSITY AVE NE STE 200 |
| City | FRIDLEY |
| State | MN |
| Zip Code | 55432-1876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649220849 | Garry M Banks | Orthopaedic Surgery | 8290 University Ave Ne Ste 200, Fridley, MN 55432-1876 | 2006-05-11 |
| 1679074546 | Jenna Lyn Woelfel | Physical Therapist | 8290 University Ave Ne Ste 200, Fridley, MN 55432-1876 | 2018-02-26 |
| 1023533999 | Kevin James Murphy | Occupational Therapist | 8290 University Ave Ne Ste 200, Fridley, MN 55432-1876 | 2017-08-11 |
| 1154850659 | Kaci Marie Platz | Physical Therapist | 8290 University Ave Ne Ste 200, Fridley, MN 55432-1876 | 2017-06-08 |
| 1306299888 | Dustin M Schlangen | Physical Therapist | 8290 University Ave Ne Ste 200, Fridley, MN 55432 | 2016-07-19 |
| 1275900391 | Brianna C Ludtke | Physical Therapist | 8290 University Ave Ne Ste 200, Fridley, MN 55432 | 2015-08-24 |
| 1629454319 | Ashley Culhane | Specialist | 8290 University Ave Ne Ste 200, Fridley, MN 55432-1876 | 2015-08-04 |
| 1740666742 | Katelyn Marie Ley | Physical Therapist | 8290 University Ave Ne Ste 200, Fridley, MN 55432-1876 | 2015-08-03 |
| 1215347117 | Marcus John Mittelsteadt | Orthopaedic Surgery | 8290 University Ave Ne Ste 200, Fridley, MN 55432-1876 | 2014-04-30 |
| 1629209598 | Matthew S Butterfield | Orthopaedic Surgery | 8290 University Ave Ne Ste 200, Fridley, MN 55432-1876 | 2009-07-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
| 1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
| 1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
| 1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1336423391 | Christian Restoration Services | Counselor | 7157 Commerce Circle W, Fridley, MN 55432 | 2011-10-07 |
| Find all providers in zip 55432 | ||||
| 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 |
|---|---|---|---|---|
| 1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
| 1427576784 | Corey Hiben | Occupational Therapist | 480 Osborne Rd Ne Ste 280, Fridley, MN 55432-2866 | 2017-09-06 |
| 1023311412 | Tera White | Occupational Therapist | 1400 73rd Ave Ne, Health Center, Fridley, MN 55432-3702 | 2010-12-07 |
| 1649407669 | Shanley Marie Harper | Occupational Therapist | 5155 East River Road, Suite 403, Fridley, MN 55421 | 2009-06-17 |
| 1003468539 | Laura Jeanne Houfek | Occupational Therapist | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-07-15 |
| 1063923233 | Christina Louise Ann Her | Occupational Therapist | 480 Osborne Rd Ne, Fridley, MN 55432-2773 | 2017-10-16 |
| 1023533999 | Kevin James Murphy | Occupational Therapist | 8290 University Ave Ne Ste 200, Fridley, MN 55432-1876 | 2017-08-11 |
| 1245614247 | Jenna Evelyn Walker | Occupational Therapist | 8290 University Ave Ne, Suite 200, Fridley, MN 55432-1847 | 2015-07-20 |
| 1780024646 | Nyriss Audrey Wallace | Occupational Therapist | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2013-06-25 |
| 1881915643 | Yen Bui | Occupational Therapist | 5155 E River Rd, Suite 403, Fridley, MN 55421-1025 | 2010-06-16 |
| Find all providers in FRIDLEY | ||||
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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.