JESSIE BILITZ POLZIN OT
NPI 1407086630
Occupational Therapist in New Brighton, MN

Active since July 22, 2009Accepts Medicare Assignment
825 1ST AVE NW, NEW BRIGHTON, MN 55112(651) 633-7875 Get Directions Write a Review

NPPES record last updated: July 22, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jessie Bilitz Polzin Ot NPPES

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

JESSIE BILITZ POLZIN OT (NPI 1407086630) is an individual occupational therapist in New Brighton, Minnesota, licensed in Minnesota (103758) and active in the NPI registry since July 2009. She is a graduate of University Of Minnesota Medical School (2009).

NPPES Registry Identity

NPI1407086630
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameJESSIE BILITZ POLZINCredential: OT
Location Address825 1ST AVE NWNew Brighton, MN 55112-6846
Mailing Address15216 Fanning Dr NHugo, MN 55038-6307 · (651) 633-7875
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2009
Enumeration DateJuly 22, 2009
✔ NPI 1407086630 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 · 103758
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.
825 1ST AVE NW, New Brighton, MN 55112

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

Jessie Bilitz Polzin Ot 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 ID6901372267
PECOS Enrollment IDI20260415002315

Medicare Billing Reassignment

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

Occupational Therapist
9817 GARDEN LN
Rogers, MN 55374
  • Reassigned Medicare billing, Minnesota enrollment
  • 8 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.

Physical Therapy Assistant
825 1ST AVE NW
NEW BRIGHTON, MN 55112
Speech-Language Pathologist
825 1ST AVE NW
NEW BRIGHTON, MN 55112
Physical Therapy Assistant
825 1ST AVE NW
NEW BRIGHTON, MN 55112
Physical Therapy Assistant
825 1ST AVE NW
NEW BRIGHTON, MN 55112
Occupational Therapist
825 1ST AVE NW
NEW BRIGHTON, MN 55112
Occupational Therapist
825 1ST AVE NW
NEW BRIGHTON, MN 55112
Physical Therapy Assistant
825 1ST AVE NW
NEW BRIGHTON, MN 55112
Occupational Therapist
825 1ST AVE NW
NEW BRIGHTON, MN 55112

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 Jessie Polzin's NPI number?

The NPI number for Jessie Polzin is 1407086630. It was assigned to this individual provider in the NPPES registry on July 22, 2009.

Where is Jessie Polzin located?

Jessie Polzin practices at 825 1st Ave NW, New Brighton, MN 55112. The listed phone number is (651) 633-7875.

What is Jessie Polzin's specialty?

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

Is Jessie Polzin enrolled in Medicare?

Yes. Jessie Polzin 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 Jessie Polzin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessie Polzin reassigns Medicare benefits to Roots And Wings Therapeutic Services LLC (Rogers, 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 Jessie Polzin'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 Jessie Polzin was last updated on July 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.