PDR SOUTHDALE, INC
NPI 1073626008
Occupational Therapist in Edina, MN

Active since August 16, 2006
3400 W 66TH ST, SUITE 450, EDINA, MN 55435(952) 908-2700 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Pdr Southdale, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PDR SOUTHDALE, INC (NPI 1073626008) is a healthcare organization registered as an occupational therapist in Edina, Minnesota and active in the NPI registry since August 2006. The organization lists Todd Wallace Ginkel, President/owner, as its authorized official.

NPPES Registry Identity

NPI1073626008
Entity TypeOrganization
Primary Taxonomy225X00000X
Legal Business NamePDR SOUTHDALE, INC
Location Address3400 W 66TH ST, SUITE 450Edina, MN 55435-2111
Mailing Address11822 Bren RdMinnetonka, MN 55343-9464
Organization SubpartNo
Authorized OfficialTodd Wallace GinkelPresident/owner · (952) 908-2700
Enumeration DateAugust 16, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1073626008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
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.

Also ListedChiropractorTaxonomy 111N00000X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedPhysical TherapistTaxonomy 225100000X
3400 W 66TH ST, Edina, MN 55435

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
3400 W 66TH ST
EDINA, MN 55435
Speech-Language Pathologist
3400 W 66TH ST
EDINA, MN 55435
Nurse Practitioner (Gerontology)
3400 W 66TH ST, SUITE 400
EDINA, MN 55435
Psychiatry & Neurology (Neurology)
3400 W 66TH ST, SUITE 150
EDINA, MN 55435
Physical Therapist
3400 W 66TH ST, SUITE 450
EDINA, MN 55435
Psychiatry & Neurology (Neurology)
3400 W 66TH ST, SUITE 150
EDINA, MN 55435
Nurse Practitioner (Gerontology)
3400 W 66TH ST, SUITE 400
EDINA, MN 55435
Hearing Instrument Specialist
3400 W 66TH ST, SUITE 140
EDINA, MN 55435

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pdr Southdale, Inc's NPI number?

The NPI number for Pdr Southdale, Inc is 1073626008. It was assigned to this organization in the NPPES registry on August 16, 2006.

Where is Pdr Southdale, Inc located?

Pdr Southdale, Inc is located at 3400 W 66th St Suite 450, Edina, MN 55435. The listed phone number is (952) 908-2700.

What is Pdr Southdale, Inc's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

When was this NPI record last updated?

The NPPES record for Pdr Southdale, Inc was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.