SAMUEL BORNHORST OTR
NPI 1144071879
Occupational Therapist in Edina, MN
About Samuel Bornhorst Otr NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL BORNHORST OTR (NPI 1144071879) is an individual occupational therapist in Edina, Minnesota, licensed in Minnesota (102766) and active in the NPI registry since March 2024. He is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samuel Bornhorst Otr is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Samuel Bornhorst reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bloomington, MN 55431
- Reassigned Medicare billing, Minnesota enrollment
- 728 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Samuel Bornhorst's NPI number?
The NPI number for Samuel Bornhorst is 1144071879. It was assigned to this individual provider in the NPPES registry on March 29, 2024.
Where is Samuel Bornhorst located?
Samuel Bornhorst practices at 3400 W 66th St Ste 240, Edina, MN 55435. The listed phone number is (952) 857-0304.
What is Samuel Bornhorst's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Samuel Bornhorst enrolled in Medicare?
Yes. Samuel Bornhorst is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Samuel Bornhorst's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Bornhorst reassigns Medicare benefits to Infinite Health Collaborative, PA (Bloomington, 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 Samuel Bornhorst'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 Samuel Bornhorst was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.