MIKAYLA WANDERSEE OTD, OTR/L
NPI 1215669155
Occupational Therapist in Minneapolis, MN

Active since June 29, 2022
1250 W BROADWAY AVE, MINNEAPOLIS, MN 55411(612) 668-0254 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 11, 2026, May 6, 2026 (2 updates tracked since 2026).

About Mikayla Wandersee Otd, Otr/l NPPES

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

MIKAYLA WANDERSEE OTD, OTR/L (NPI 1215669155) is an individual occupational therapist in Minneapolis, Minnesota and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1215669155
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMIKAYLA WANDERSEECredential: OTD, OTR/L
Location Address1250 W BROADWAY AVEMinneapolis, MN 55411-2533
Mailing Address1250 W Broadway AveMinneapolis, MN 55411-2533 · (612) 668-0254
Sole ProprietorNo
Enumeration DateJune 29, 2022
Last NPPES UpdateMay 11, 20262 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1215669155 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.
1250 W BROADWAY AVE, Minneapolis, MN 55411

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mikayla Wandersee Otd, Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Speech-Language Pathologist
1891 STATION PKWY NW
Andover, MN 55304
  • Reassigned Medicare billing, Minnesota enrollment
  • 112 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 20

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

Social Worker
1250 W BROADWAY AVE
MINNEAPOLIS, MN 55411
Social Worker (Clinical)
1250 W BROADWAY AVE
MINNEAPOLIS, MN 55411
Speech-Language Pathologist
1250 W BROADWAY AVE
MINNEAPOLIS, MN 55411
Occupational Therapist
1250 W BROADWAY AVE
MINNEAPOLIS, MN 55411
Speech-Language Pathologist
1250 W BROADWAY AVE
MINNEAPOLIS, MN 55411
Social Worker
1250 W BROADWAY AVE
MINNEAPOLIS, MN 55411
Occupational Therapist
1250 W BROADWAY AVE
MINNEAPOLIS, MN 55411
Speech-Language Pathologist
1250 W BROADWAY AVE
MINNEAPOLIS, MN 55411

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 Mikayla Wandersee's NPI number?

The NPI number for Mikayla Wandersee is 1215669155. It was assigned to this individual provider in the NPPES registry on June 29, 2022.

Where is Mikayla Wandersee located?

Mikayla Wandersee practices at 1250 W Broadway Ave, Minneapolis, MN 55411. The listed phone number is (612) 668-0254.

What is Mikayla Wandersee's specialty?

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

Is Mikayla Wandersee enrolled in Medicare?

Yes. Mikayla Wandersee is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mikayla Wandersee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mikayla Wandersee reassigns Medicare benefits to Family Speech & Therapy Services, LLC (Andover, 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 Mikayla Wandersee'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 Mikayla Wandersee was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.