Unknown Individual – Occupational Therapist, NPI 1790196780

Unknown Individual is a healthcare provider. based in Excelsior, Minnesota. specializing in Occupational Therapist. They hold a License No. 104518 (MN). The NPI Number for Unknown Individual is 1790196780

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790196780
Phone
(952) 474-1386
Address
27430 PINE BND
Deactivation Date
6 March 2025
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

Provider Addresses for Unknown Individual

  • 27430 PINE BND

    EXCELSIOR, MN 553317905

    Phone: (952) 474-1386

    Type: Mailing

  • 3333 UNIVERSITY AVE SE

    MINNEAPOLIS, MN 554143325

    Phone: (612) 331-9413

    Type: Location

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.

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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 55331)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1790196780.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Occupational Therapist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Excelsior?
Public fields place Unknown Individual around Excelsior, Minnesota. Always confirm the exact site before visiting.
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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