JEREMY DERHEIM (NPI# 1922518885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922518885 |
| Entity Type | Individual |
| Full Name | JEREMY DERHEIM |
| Credential | MA OTR/L |
| Practice Address |
2829 Verndale Ave Anoka MN 55303 |
| Mailing Address |
14130 Cottonwood Blvd Becker MN 55308 |
| Practice Telephone | 7632312590 |
| Mailing Telephone | 3202673660 |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 105473 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2829 VERNDALE AVE |
| City | ANOKA |
| State | MN |
| Zip Code | 55303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982932802 | Joni Karla Britton | Social Worker | 2829 Verndale Ave, Suite 3, Anoka, MN 55303-1620 | 2009-12-04 |
| 1760917710 | Michelle Pettit | Occupational Therapist | 2829 Verndale Ave, Pediatric Therapy Department, Anoka, MN 55303-1620 | 2017-04-27 |
| 1093254559 | Elizabeth Geiger | Occupational Therapist | 2829 Verndale Ave, Anoka, MN 55303-1620 | 2017-02-16 |
| 1992248231 | Gretchen Phung | Marriage & Family Therapist | 2829 Verndale Ave, Anoka, MN 55303-1620 | 2016-11-18 |
| 1922450188 | Paula Jean Qualen | Speech-Language Pathologist | 2829 Verndale Ave, Anoka, MN 55303-1620 | 2016-07-11 |
| 1750742458 | Alicia Petroff | Counselor | 2829 Verndale Ave, Anoka, MN 55303-1620 | 2016-03-09 |
| 1306204078 | Jessica Hase | Marriage & Family Therapist | 2829 Verndale Ave, Anoka, MN 55303-1620 | 2016-02-09 |
| 1427415777 | Kimberly Mensing | Marriage & Family Therapist | 2829 Verndale Ave, Anoka, MN 55303-1620 | 2016-01-18 |
| 1114322369 | Trisha Matter | Marriage & Family Therapist | 2829 Verndale Ave, Anoka, MN 55303-1620 | 2014-10-30 |
| 1205172483 | Lindsey K Brune | Marriage & Family Therapist | 2829 Verndale Ave, Anoka, MN 55303-1620 | 2012-12-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009548 | Emily Ongaga | Nurse Practitioner | 43 10 Parkview Circle, Anoka, MN 55303 | 2020-10-06 |
| 1568083111 | Suite Living Senior Care of Ramsey | Assisted Living Facility | 7007 139th Lane Nw, Ramsey, MN 55303 | 2020-05-05 |
| 1154942258 | Naomi Nystrom | Clinical Neuropsychologist | Psychology-building A, 3301 7th Ave. N, Anoka, MN 55303 | 2020-04-29 |
| 1104452135 | Vnv Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 15200 Helium Street Nw, Ramsey, MN 55303 | 2020-03-22 |
| 1043851165 | Mary Rahn | Technician | 20650 Poppy St. Nw, Oak Grove, MN 55303 | 2019-09-30 |
| 1417509100 | Deka Ahmed Abdulle | Advanced Practice Midwife | 601 Jacob Lane, Mail Stop 39300a, Anoka, MN 55303 | 2019-07-12 |
| 1952818981 | Golden Hearts Home Care Services | Home Health | 609 Parkview Ct, Anoka, MN 55303 | 2017-12-29 |
| 1144740143 | Margret Kallstrom | Occupational Therapist | 929 Adams St., Anoka, MN 55303 | 2017-06-21 |
| 1376095471 | Sabra Ramsey Trs, LLC | Assisted Living Facility | 14401 Nowthen Blvd Nw, Ramsey, MN 55303 | 2016-10-25 |
| 1356794135 | Katlyn Marie Bass | Chiropractor | 1902 5th Ave S Suite 5, Anoka, MN 55303 | 2016-07-18 |
| Find all providers in zip 55303 | ||||
| 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 |
|---|---|---|---|---|
| 1144740143 | Margret Kallstrom | Occupational Therapist | 929 Adams St., Anoka, MN 55303 | 2017-06-21 |
| 1629033162 | Kari Jo Redin | Occupational Therapist | 1130 Lund Blvd, Anoka, MN 55303-1091 | 2006-04-18 |
| 1760917710 | Michelle Pettit | Occupational Therapist | 2829 Verndale Ave, Pediatric Therapy Department, Anoka, MN 55303-1620 | 2017-04-27 |
| 1831633700 | Jodi Lebaron | Occupational Therapist | 22426 Saint Francis Blvd, Anoka, MN 55303-9670 | 2016-12-13 |
| 1699150292 | Paige Servick | Occupational Therapist | 3000 4th Ave, Anoka, MN 55303-1203 | 2015-07-23 |
| 1851570345 | Merrilee Henderson | Occupational Therapist | 22426 Saint Francis Blvd, Anoka, MN 55303-9670 | 2007-10-31 |
| 1811030943 | Dolores Voorhees | Occupational Therapist | 22426 Saint Francis Blvd, Anoka, MN 55303-9670 | 2007-02-15 |
| 1972672756 | Life Balance Inc | Occupational Therapist | 22426 Saint Francis Blvd, Anoka, MN 55303-9670 | 2006-11-07 |
| 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 |
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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.