MIKAEL ANGHELO VIAZCAN OLVERA OTD, OTR/L
NPI 1265278766
Occupational Therapist in Brooklyn Park, MN

Active since July 03, 2024Accepts Medicare Assignment
5200 OAK GROVE PKWY N, BROOKLYN PARK, MN 55443(763) 531-5039 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mikael Anghelo Viazcan Olvera Otd, Otr/l NPPES

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

MIKAEL ANGHELO VIAZCAN OLVERA OTD, OTR/L (NPI 1265278766) is an individual occupational therapist in Brooklyn Park, Minnesota, licensed in Minnesota (502715) and active in the NPI registry since July 2024. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1265278766
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameMIKAEL ANGHELO VIAZCAN OLVERACredential: OTD, OTR/L
Location Address5200 OAK GROVE PKWY NBrooklyn Park, MN 55443-4031
Mailing Address4617 1st Ave SMinneapolis, MN 55419-5601
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 3, 2024
NPPES CertifiedJuly 3, 2024
NPI 1265278766 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
License Licensed in MN · 502715
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.

5200 OAK GROVE PKWY N, Brooklyn Park, MN 55443

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mikael Anghelo Viazcan Olvera Otd, Otr/l 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.

PECOS PAC ID6709326754
PECOS Enrollment IDI20240905002630

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Assisted Living Facility
5200 OAK GROVE PKWY N
BROOKLYN PARK, MN 55443
Physical Therapist (Geriatrics)
5200 OAK GROVE PKWY N
BROOKLYN PARK, MN 55443
Occupational Therapy Assistant
5200 OAK GROVE PKWY N
BROOKLYN PARK, MN 55443
Occupational Therapist
5200 OAK GROVE PKWY N
BROOKLYN PARK, MN 55443
Occupational Therapist
5200 OAK GROVE PKWY N
BROOKLYN PARK, MN 55443
Occupational Therapist
5200 OAK GROVE PKWY N
BROOKLYN PARK, MN 55443
Occupational Therapy Assistant
5200 OAK GROVE PKWY N
BROOKLYN PARK, MN 55443

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265278766, enumerated as an "individual" on July 03, 2024.

The provider is located at 5200 OAK GROVE PKWY N BROOKLYN PARK, MN 55443 and the phone number is (763) 531-5039.

Occupational Therapist with taxonomy code 225X00000X.