MRS. KELLY RAE AMUNDSON (NPI# 1750715736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750715736 |
| Entity Type | Individual |
| Full Name | MRS. KELLY RAE AMUNDSON |
| Practice Address |
901 9th St N Suite 100 Virginia MN 55792-2325 |
| Practice Telephone | 2187499405 |
| Practice Fax Number | 2187499407 |
| Mailing Telephone | 2187499405 |
| Mailing Fax Number | 2187499407 |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2013-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 102961 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538476296 | Kelly M Amundson | Occupational Therapist | 200 1st St Sw, Rochester, MN 55905-0001 | 2010-09-01 |
| Street Address |
901 9TH ST N SUITE 100 |
| City | VIRGINIA |
| State | MN |
| Zip Code | 55792-2325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617120 | Essentia Health Virginia, LLC | General Acute Care Hospital | 901 9th St N, Virginia, MN 55792-2325 | 2005-05-23 |
| 1174184717 | Zachary B Horoshak | Physician Assistant | 901 9th St N, Virginia, MN 55792-2325 | 2019-06-25 |
| 1629543368 | Rachel Anne Eisenhuth | Physical Therapist | 901 9th St N, Virginia, MN 55792-2325 | 2018-10-09 |
| 1194214858 | Haley Therese Mckee | Speech-Language Pathologist | 901 9th St N, Virginia, MN 55792-2325 | 2018-05-08 |
| 1518478346 | Melissa M. Devries | Nurse Practitioner | 901 9th St N, Virginia, MN 55792-2325 | 2017-10-19 |
| 1417474461 | Katy Decker | Physical Therapist | 901 9th St N, Virginia, MN 55792-2325 | 2017-08-29 |
| 1548613144 | Molly Ongaro | Dietitian, Registered | 901 9th St N, Virginia, MN 55792-2325 | 2016-07-19 |
| 1508244864 | Tally Puffer | Speech-Language Pathologist | 901 9th St N, Virginia, MN 55792-2325 | 2015-05-07 |
| 1679968010 | David Martin Fedor | Surgery | 901 9th St N, Virginia, MN 55792-2325 | 2015-04-02 |
| 1114315652 | Sara Luoma | Nurse Practitioner | 901 9th St N, Essentia Health Virginia Medical Arts Clinic, Virginia, MN 55792-2325 | 2015-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598252983 | Teresa A Larrabee | Social Worker | 624 South 13th Street, Virginia, MN 55792 | 2018-04-20 |
| 1972874105 | Caryn M. Walters | Counselor | 504 1st St. S., Virginia, MN 55792 | 2012-01-19 |
| 1144502923 | Crystal Corrine Leal | Student in an Organized Health Care Education/Training Program | 624 S. 13th St., Virginia, MN 55792 | 2011-09-16 |
| 1417259110 | Ellen C. Taube | Pharmacist | 306 Chestnut, Virginia, MN 55792 | 2010-12-01 |
| 1518295567 | Virginia-gilbert Family Dental P.a | Dentist | 612-13th. St. So., Virginia, MN 55792 | 2009-12-03 |
| 1942442082 | Arrowhead Economic Opportunity Agency | In Home Supportive Care | 702 South Third Avenue, Virginia, MN 55792 | 2009-04-06 |
| 1609037324 | Stefan Leroy Kaiser | Preventive Medicine | 1101 9th St. N, Essentia Health Virginia Clinic, Virginia, MN 55792 | 2008-06-25 |
| 1457512915 | Duane Faccin Person | Legal Medicine | 910 6th St N, Duluth Clinic Virginia, Virginia, MN 55792 | 2008-06-18 |
| 1932368313 | Range Mental Health Center Inc | Community Based Residential Treatment Facility, Mental Illness | 731 3rd St S, Virginia, MN 55792 | 2008-06-02 |
| 1871634071 | Gary Frederick Miller | Social Worker | 624 S 13th Street, P O 1188, Virginia, MN 55792 | 2007-02-09 |
| Find all providers in zip 55792 | ||||
| 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 |
|---|---|---|---|---|
| 1629610506 | Brandi Lynn Kilbourn | Occupational Therapist | 705 17th St N, Virginia, MN 55792-2176 | 2019-10-12 |
| 1740637578 | Jordyn Renee Drees | Occupational Therapist | 705 17th St N, Virginia, MN 55792 | 2016-05-23 |
| 1073889481 | Christina M Lumppio | Occupational Therapist | 901 9th St. No., Suite 100, Virginia, MN 55792-2279 | 2012-03-29 |
| 1699094540 | David Chester Tollefson | Occupational Therapist | 705 17th St N, Virginia, MN 55792 | 2010-05-18 |
| 1396918058 | Andrea Lea Vansoest | Occupational Therapist | 901 9th St N, Suite 100, Virginia, MN 55792-2325 | 2008-04-02 |
| 1639341464 | Andrew Graham Elliott | Occupational Therapist | 901 9th St N, Suite 100, Virginia, MN 55792-2325 | 2008-04-01 |
| 1417129651 | Angie Marie Anderson | Occupational Therapist | 901 9th St N, Suite 100, Virginia, MN 55792-2325 | 2008-03-27 |
| 1922270222 | Shelley Jean Aho | Occupational Therapist | 901 9th St N, Suite 100, Virginia, MN 55792-2325 | 2008-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193326 | Shannon M Winn | Occupational Therapist | 529 Stine Dr, Carlton, MN 55718-9721 | 2020-10-26 |
| 1912504960 | Marissa Erin Rahlf | Occupational Therapist | 25834 710th St, Hayfield, MN 55940-8745 | 2020-10-02 |
| 1427662105 | Superior Therapy Solution LLC | Occupational Therapist | 1730 New St, Duluth, MN 55806-2114 | 2020-09-01 |
| 1083228753 | Rachel Anne Kramer | Occupational Therapist | 42808 County Road 11, Bird Island, MN 55310-3006 | 2020-09-01 |
| 1073123873 | Robert G Otos | Occupational Therapist | 8700 Virginia Cir N, Saint Louis Park, MN 55426-2455 | 2020-08-06 |
| 1164031787 | Melissa Cayetano Sanchez | Occupational Therapist | 6990 Wyndham Way, Woodbury, MN 55125-2761 | 2020-07-29 |
| 1275151896 | Integrative Therapies & Wellness | Occupational Therapist | 115 Willow St W Ste 4, Detroit Lakes, MN 56501-3922 | 2020-07-09 |
| 1760009153 | Traci Lynn Kruse | Occupational Therapist | 11437 Kenyon Ct Ne, Blaine, MN 55449-5483 | 2020-07-01 |
| 1376164244 | Madeline Rose Springer | Occupational Therapist | 19230 Larkspur Ave N, Marine On Saint Croix, MN 55047-9696 | 2020-05-02 |
| 1578182218 | Natalie Ryane Garfield | Occupational Therapist | 3025 Ottawa Ave S Apt 130, St Louis Park, MN 55416-2279 | 2020-04-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. KELLY RAE AMUNDSON.
| 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.