ANDREA ANN JANIKE MOTR/L
NPI 1679164198
Occupational Therapist in Plymouth, MN

Active since January 27, 2021
15600 36TH AVE N STE 120, PLYMOUTH, MN 55446(763) 595-0812(763) 595-0824 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 8, 2023, Jan 27, 2021 (2 updates tracked since 2021).

About Andrea Ann Janike Motr/l NPPES

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

ANDREA ANN JANIKE MOTR/L (NPI 1679164198) is an individual occupational therapist in Plymouth, Minnesota, licensed in Minnesota (106053) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1679164198
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameANDREA ANN JANIKECredential: MOTR/L
Location Address15600 36TH AVE N STE 120Plymouth, MN 55446-3687
Mailing Address15600 36th Ave N Ste 120Plymouth, MN 55446-3687 · (763) 595-0812 · Fax (763) 595-0824
Fax(763) 595-0824
Sole ProprietorNo
Enumeration DateJanuary 27, 2021
Last NPPES UpdateFebruary 8, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
✔ NPI 1679164198 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 · 106053
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.
15600 36TH AVE N STE 120, Plymouth, MN 55446

Other Names 1

Former Name (1)Andrea Ann Paumen Motr/l

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Ann Janike Motr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Speech-Language Pathologist
15600 36TH AVE N STE 120
Plymouth, MN 55446
  • 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 14

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

Speech-Language Pathologist
15600 36TH AVE N STE 120
PLYMOUTH, MN 55446
Speech-Language Pathologist
15600 36TH AVE N STE 120
PLYMOUTH, MN 55446
Speech-Language Pathologist
15600 36TH AVE N STE 120
PLYMOUTH, MN 55446
Physical Therapist (Pediatrics)
15600 36TH AVE N STE 120
PLYMOUTH, MN 55446
Occupational Therapist (Pediatrics)
15600 36TH AVE N STE 120
PLYMOUTH, MN 55446
Speech-Language Pathologist
15600 36TH AVE N STE 120
PLYMOUTH, MN 55446
Occupational Therapist
15600 36TH AVE N STE 120
PLYMOUTH, MN 55446
Speech-Language Pathologist
15600 36TH AVE N STE 120
PLYMOUTH, MN 55446

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 Andrea Janike's NPI number?

The NPI number for Andrea Janike is 1679164198. It was assigned to this individual provider in the NPPES registry on January 27, 2021. The provider is also known as Andrea Ann Paumen Motr/L.

Where is Andrea Janike located?

Andrea Janike practices at 15600 36th Ave N Ste 120, Plymouth, MN 55446. The listed phone number is (763) 595-0812.

What is Andrea Janike's specialty?

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

Is Andrea Janike enrolled in Medicare?

Yes. Andrea Janike is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrea Janike's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Janike reassigns Medicare benefits to Minnetonka Pediatric Therapy Center, LLC (Plymouth, 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 Andrea Janike'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 Andrea Janike was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.