ROOTS AND WINGS THERAPEUTIC SERVICES LLC
NPI 1902564420
Occupational Therapist in Rogers, MN

Active since December 01, 2021
9817 GARDEN LN, ROGERS, MN 55374(612) 408-6580 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 19, 2022, Dec 7, 2021, Dec 1, 2021 (3 updates tracked since 2021).

About Roots And Wings Therapeutic Services Llc NPPES

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

ROOTS AND WINGS THERAPEUTIC SERVICES LLC (NPI 1902564420) is a healthcare organization registered as an occupational therapist in Rogers, Minnesota and active in the NPI registry since December 2021. The organization lists Elizabeth Juanita Duffy, Partner, as its authorized official.

NPPES Registry Identity

NPI1902564420
Entity TypeOrganization
Primary Taxonomy225X00000X
Legal Business NameROOTS AND WINGS THERAPEUTIC SERVICES LLC
Location Address9817 GARDEN LNRogers, MN 55374-9775
Mailing Address4707 Highway 61 N Ste 150White Bear Lake, MN 55110-3227 · (601) 392-2097
Organization SubpartNo
Authorized OfficialElizabeth Juanita DuffyPartner · (608) 322-2722
Enumeration DateDecember 1, 2021
Last NPPES UpdateJanuary 19, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2022
✔ NPI 1902564420 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
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.
9817 GARDEN LN, Rogers, MN 55374

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roots And Wings Therapeutic Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMinnesotaEnrollment IDO20220203000682Non-DME Part B · Physical/Occupational Therapy Group in Private PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Roots And Wings Therapeutic Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Occupational Therapist in Private Practice
NPI 1730941113
9817 GARDEN LN
Rogers, MN 55374
(601) 392-2097
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1447878186
11318 86TH AVE N
Maple Grove, MN 55369
(651) 773-5988
9.3 mi
Occupational Therapist in Private Practice
NPI 1760917710
2829 VERNDALE AVE PEDIATRIC THERAPY DEPARTMENT
Anoka, MN 55303
(763) 233-7274
✔ Accepts Medicare11 mi
Occupational Therapist in Private Practice
NPI 1407086630
825 1ST AVE NW
New Brighton, MN 55112
(651) 633-7875
✔ Accepts Medicare21 mi
Occupational Therapist in Private Practice
NPI 1780196899
413 13TH AVE
Howard Lake, MN 55349
(320) 543-3800
✔ Accepts Medicare23 mi
Occupational Therapist in Private Practice
NPI 1124286786
4707 HIGHWAY 61 N # 150
White Bear Lake, MN 55110
(608) 322-2722
✔ Accepts Medicare30 mi
Occupational Therapist in Private Practice
NPI 1679244917
200 1ST ST SW
Rochester, MN 55905
(507) 284-2511
✔ Accepts Medicare95 mi
Occupational Therapist in Private Practice
NPI 1225623994
2530 RIDGE AVE
Evanston, IL 60201
(847) 486-4140
✔ Accepts Medicare365 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Roots And Wings Therapeutic Services LLC's NPI number?

The NPI number for Roots And Wings Therapeutic Services LLC is 1902564420. It was assigned to this organization in the NPPES registry on December 1, 2021.

Where is Roots And Wings Therapeutic Services LLC located?

Roots And Wings Therapeutic Services LLC is located at 9817 Garden Ln, Rogers, MN 55374. The listed phone number is (612) 408-6580.

What is Roots And Wings Therapeutic Services LLC's specialty?

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

Is Roots And Wings Therapeutic Services LLC enrolled in Medicare?

Yes. Roots And Wings Therapeutic Services LLC is registered in the Medicare PECOS enrollment system.

When is Roots And Wings Therapeutic Services LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Minnesota, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Roots And Wings Therapeutic Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Occupational Therapist in Private Practice, reassign their Medicare billing to Roots And Wings Therapeutic Services LLC. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Roots And Wings Therapeutic Services LLC accept?

Health plans from Medica list Roots And Wings Therapeutic Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roots And Wings Therapeutic Services LLC was last updated on January 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.