EVOLVEWELL OCCUPATIONAL THERAPY LLC
NPI 1609320605
Occupational Therapist in White Bear Lake, MN

NPI Status: Active since August 08, 2016

Contact Information

5842 HOBE LN
WHITE BEAR LAKE, MN
ZIP 55110
Phone: (651) 558-1054

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Secondary Locations
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Occupational Therapist
Accepts Insurance

About EVOLVEWELL OCCUPATIONAL THERAPY LLC

This page provides the complete NPI Profile along with additional information for Evolvewell Occupational Therapy Llc, a provider established in White Bear Lake, Minnesota operating as a Occupational Therapist. The healthcare provider is registered in the NPI registry with number 1609320605 assigned on August 2016. The practitioner's primary taxonomy code is 225X00000X with license number 101822 (MN). The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jessica Engman Otr/l (Owner/clinical Director)

NPI: 1609320605
Provider Name: EVOLVEWELL OCCUPATIONAL THERAPY LLC
Entity Type: Organization
Location Address: 5842 HOBE LN WHITE BEAR LAKE, MN 55110
Location Phone: (651) 558-1054
Mailing Address: 5842 HOBE LN WHITE BEAR LAKE, MN 55110
Mailing Phone: (651) 558-1054
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 08-08-2016
Last Update Date: 05-26-2021
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Location Map

Secondary Locations

15 S Minnesota St
New Ulm, MN 56073
(651) 383-1197

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Occupational Therapist
Taxonomy Code: 225X00000X
Type: Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.: 101822
License State: MN
Taxonomy Description: 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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medica

Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
Medica Individual Choice Bronze Share - HMO
Medica Individual Choice Expanded Bronze Standard - HMO
Medica Individual Choice Gold $0 Copay PCP Visits - HMO
Medica Individual Choice Gold Share - HMO
Medica Individual Choice Gold Standard - HMO
Medica Individual Choice Silver $0 Copay PCP Visits - HMO
Medica Individual Choice Silver Share - HMO
Medica Individual Choice Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: JESSICA ENGMAN OTR/L
Authorized Official Title: OWNER/CLINICAL DIRECTOR
Authorized Official Phone: (651) 558-1054

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	6	0	9	3	2	0	6	0	5
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	0	9	6	2	0	6	0
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 6 + 2 + 0 + 6 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 5									5

The NPI number 1609320605 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.