Unknown Individual – Occupational Therapist, NPI 1386807717

Unknown Individual is a healthcare provider. based in Fridley, Minnesota. specializing in Occupational Therapist. They hold a License No. 102373 (MN). The NPI Number for Unknown Individual is 1386807717

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1386807717
Phone
(763) 572-2519
Address
5155 E RIVER RD
Deactivation Date
17 May 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • LuminFire, 5155, East River Road, Minneapolis, Anoka County, Minnesota, 55421, United States

    #403

    FRIDLEY, MN 554211025

    Phone: (763) 572-2519

    Fax: (763) 572-2616

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55421)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1386807717?
NPI 1386807717 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Occupational Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Fridley, Minnesota as the reference point for Unknown Individual, then confirm.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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