MARYN HETZEL
NPI 1134061450
Occupational Therapist in Saint Paul, MN

Active since April 07, 2026
1216 SELBY AVE, SAINT PAUL, MN 55104(651) 497-4884 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Maryn Hetzel NPPES

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

MARYN HETZEL (NPI 1134061450) is an individual occupational therapist in Saint Paul, Minnesota and active in the NPI registry since April 2026. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1134061450
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMARYN HETZEL
Location Address1216 SELBY AVESaint Paul, MN 55104-6421
Mailing Address1216 Selby AveSaint Paul, MN 55104-6421 · (651) 698-1729
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 7, 2026
NPPES CertifiedApril 7, 2026
✔ NPI 1134061450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1216 SELBY AVE, Saint Paul, MN 55104

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maryn Hetzel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325516107
PECOS Enrollment IDI20260511000834

Medicare Billing Reassignment

Medicare enrollment records show Maryn Hetzel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Speech-Language Pathologist
1216 SELBY AVE
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 5 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

Speech-Language Pathologist
1216 SELBY AVE
SAINT PAUL, MN 55104
Student in an Organized Health Care Education/Training Program
1216 SELBY AVE
SAINT PAUL, MN 55104
Speech-Language Pathologist
1216 SELBY AVE
SAINT PAUL, MN 55104
Speech-Language Pathologist
1216 SELBY AVE
SAINT PAUL, MN 55104

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 Maryn Hetzel's NPI number?

The NPI number for Maryn Hetzel is 1134061450. It was assigned to this individual provider in the NPPES registry on April 7, 2026.

Where is Maryn Hetzel located?

Maryn Hetzel practices at 1216 Selby Ave, Saint Paul, MN 55104. The listed phone number is (651) 497-4884.

What is Maryn Hetzel's specialty?

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

Is Maryn Hetzel enrolled in Medicare?

Yes. Maryn Hetzel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maryn Hetzel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maryn Hetzel reassigns Medicare benefits to The Therapy Spot, LLC (Saint Paul, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maryn Hetzel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maryn Hetzel was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.