THEA RENEE FREDERICKSEN M.A., OTR/L
NPI 1598178204
Occupational Therapist in Minneapolis, MN

Active since June 10, 2014
1250 W BROADWAY AVE, MINNEAPOLIS, MN 55411(612) 668-0254 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Thea Renee Fredericksen M.a., Otr/l NPPES

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

THEA RENEE FREDERICKSEN M.A., OTR/L (NPI 1598178204) is an individual occupational therapist in Minneapolis, Minnesota, licensed in Minnesota (104473) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1598178204
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameTHEA RENEE FREDERICKSENCredential: M.A., 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 10, 2014
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
NPI 1598178204 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 · 104473
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

Other Identifiers 2

Other309557MN · National Board For Certification In Occupational Therapy
Other104473MN · Mn Ot License

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 Thea Fredericksen's NPI number?

The NPI number for Thea Fredericksen is 1598178204. It was assigned to this individual provider in the NPPES registry on June 10, 2014.

Where is Thea Fredericksen located?

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

What is Thea Fredericksen's specialty?

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

When was this NPI record last updated?

The NPPES record for Thea Fredericksen was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.