KISHA PATTERSON OTR/L
NPI 1649729567
Occupational Therapist in St Louis Park, MN

Active since October 04, 2016
3525 MONTEREY DR, ST LOUIS PARK, MN 55416(952) 993-6200 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kisha Patterson Otr/l NPPES

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

KISHA PATTERSON OTR/L (NPI 1649729567) is an individual occupational therapist in St Louis Park, Minnesota, licensed in Minnesota (105251) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1649729567
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKISHA PATTERSONCredential: OTR/L
Location Address3525 MONTEREY DRSt Louis Park, MN 55416-5275
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Sole ProprietorNo
Enumeration DateOctober 4, 2016
Last NPPES UpdateMarch 10, 2021
NPPES CertifiedMarch 10, 2021
✔ NPI 1649729567 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 · 105251
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.
3525 MONTEREY DR, St Louis Park, MN 55416

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kisha Patterson Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Family Medicine
3800 PARK NICOLLET BLVD
St Louis Park, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,527 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.

Occupational Therapist
3525 MONTEREY DR
ST LOUIS PARK, MN 55416
Dietitian, Registered
3525 MONTEREY DR
ST LOUIS PARK, MN 55416
Psychologist (Clinical)
3525 MONTEREY DR
ST LOUIS PARK, MN 55416
Dietitian, Registered
3525 MONTEREY DR
ST LOUIS PARK, MN 55416
Marriage & Family Therapist
3525 MONTEREY DR
ST LOUIS PARK, MN 55416
Psychiatry & Neurology (Psychiatry)
3525 MONTEREY DR
SAINT LOUIS PARK, MN 55416
Psychologist
3525 MONTEREY DR
ST LOUIS PARK, MN 55416
Dietitian, Registered
3525 MONTEREY DR
ST LOUIS PARK, MN 55416

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 Kisha Patterson's NPI number?

The NPI number for Kisha Patterson is 1649729567. It was assigned to this individual provider in the NPPES registry on October 4, 2016.

Where is Kisha Patterson located?

Kisha Patterson practices at 3525 Monterey Dr, St Louis Park, MN 55416. The listed phone number is (952) 993-6200.

What is Kisha Patterson's specialty?

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

Is Kisha Patterson enrolled in Medicare?

Yes. Kisha Patterson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kisha Patterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kisha Patterson reassigns Medicare benefits to Park Nicollet Clinic (St Louis Park, 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 Kisha Patterson'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 Kisha Patterson was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.