JENNA ROSE BROIHAHN
NPI 1447878186
Occupational Therapist in Maple Grove, MN

Active since July 09, 2020
11318 86TH AVE N, MAPLE GROVE, MN 55369(651) 773-5988(612) 314-5286 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2025, Jul 9, 2020 (2 updates tracked since 2020).

About Jenna Rose Broihahn NPPES

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

JENNA ROSE BROIHAHN (NPI 1447878186) is an individual occupational therapist in Maple Grove, Minnesota, licensed in Minnesota (107637) and active in the NPI registry since July 2020. She maintains a secondary practice location in St Louis Park.

NPPES Registry Identity

NPI1447878186
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameJENNA ROSE BROIHAHN
Location Address11318 86TH AVE NMaple Grove, MN 55369-4528
Mailing Address11318 86th Ave NMaple Grove, MN 55369-4528 · (612) 314-5286
Fax(612) 314-5286
Sole ProprietorYes
Enumeration DateJuly 9, 2020
Last NPPES UpdateOctober 9, 20252 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1447878186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in MN · 107637
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.
Also ListedBehavior TechnicianTaxonomy 106S00000X
11318 86TH AVE N, Maple Grove, MN 55369

Secondary Practice Location 1

Location 13800 Park Nicollet Blvd # 300St Louis Park, MN 55416-2527 · Phone (952) 993-9278

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenna Rose Broihahn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Jenna Broihahn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
7000 TARGET PKWY N
Brooklyn Park, MN 55445
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,527 clinicians in this Medicare group
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 3

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

Occupational Therapy Assistant
11318 86TH AVE N
MAPLE GROVE, MN 55369
Home Health
11318 86TH AVE N
MAPLE GROVE, MN 55369
Pedorthist
11318 86TH AVE N
MAPLE GROVE, MN 55369

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 Jenna Broihahn's NPI number?

The NPI number for Jenna Broihahn is 1447878186. It was assigned to this individual provider in the NPPES registry on July 9, 2020.

Where is Jenna Broihahn located?

Jenna Broihahn practices at 11318 86th Ave N, Maple Grove, MN 55369. The listed phone number is (651) 773-5988.

What is Jenna Broihahn's specialty?

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

Is Jenna Broihahn enrolled in Medicare?

Yes. Jenna Broihahn is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jenna Broihahn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Broihahn reassigns Medicare benefits to 2 organizations: Park Nicollet Clinic (Brooklyn Park, MN) and Roots And Wings Therapeutic Services LLC (Rogers, MN). Each 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 Jenna Broihahn'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 Jenna Broihahn was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.