CONNOR ROACH


Address: 8100 Northland Dr, Bloomington, MN 55431-4800
Phone: 9528318742

CONNOR ROACH (NPI# 1659731222) 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) 1659731222
Entity Type Individual
Full Name CONNOR ROACH
Credential MS OTR/L
Practice Address 8100 Northland Dr
Bloomington
MN 55431-4800
Mailing Address 19700 Hillside St
Excelsior
MN 55331-8768
Practice Telephone 9528318742
Mailing Telephone 9524562420
Enumeration Date 2016-02-25
Last Update Date 2016-02-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 105089 MN Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 8100 NORTHLAND DR
City BLOOMINGTON
State MN
Zip Code 55431-4800

Providers in the same location

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
1659744043 Aimee Custer Clinical Neuropsychologist 8100 Northland Dr, Bloomington, MN 55431-4800 2015-11-05
1295111979 Andrea Vavra Specialist/Technologist 8100 Northland Dr, Bloomington, MN 55431-4800 2015-08-05
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Providers in the same zip code

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
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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
1174135057 Hannah Masemore Occupational Therapist 2025 E Lincoln St, Bloomington, IL 61701-5995 2020-08-20
1447810411 Elizabeth Mathews Occupational Therapist 443 S Landmark Ave, Bloomington, IN 47403-5004 2019-06-20
1285116657 Kimberly D Bergan Occupational Therapist 3607 S Heirloom Dr, Bloomington, IN 47401 2018-09-03
1427584051 Erin Christensen Occupational Therapist 900 W 94th St Ste A, Bloomington, MN 55420-4207 2017-05-02
1164872941 Christopher Sobota Occupational Therapist 220 Springfield Rd, Suite 300, Bloomington, IL 60108-3087 2016-06-13
1972978096 Lafonda Mckee Occupational Therapist 3211 E Moores Pike Fl 3, Bloomington, IN 47401-7129 2015-12-01
1487027397 Abbey Turgeon Occupational Therapist 9562 Yukon Cir S, Bloomington, MN 55438-1645 2015-11-02
1407268022 Lydia Mitchelle Kaufman Occupational Therapist 5800 American Blvd W Apt 528, Bloomington, MN 55437-1489 2014-06-02
1518218197 Margret I. Kingrey Occupational Therapist 5911 W. State Rd., Bloomington, IN 47404-0537 2012-09-24
1114276177 Cynthia Johnson Occupational Therapist 2200 East Washington St, Bloomington, IL 61701 2012-09-06
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City BLOOMINGTON
Zip Code 55431

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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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