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Mckenzie Christine Ormberg , COTA

Occupational Therapy Assistant β€’ Maple Grove, MN

Active NPI 1104633684 Individual Practitioner Female Practitioner
Practice location in NPPES

11100 86th Ave N
Maple Grove, MN 553694529

Call 7637554275 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

11100 86th Ave N

Maple Grove, MN 553694529

Telephone 7637554275
Fax 7637554275
Organization at the Same NPPES Address or Phone
Family Speech & Therapy Services, Llc Facility NPI 1235285966

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Maple Grove and Minnesota

3 active clinicians are listed under Occupational Therapy Assistant with a practice address in Maple Grove, MN (421 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-01
Occupational Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 224Z00000X

An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ‘€
Provider Name / Credentials Updated April 01, 2026

Recorded as MCKENZIE ORMBERG, COTA

βœ…
NPI Profile Active December 17, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 17, 2024

Registered at 11100 86TH AVE N, MAPLE GROVE, MN 553694529 (Tel: 7637554275)

πŸ“
Business Mailing Address (Initial Record) December 17, 2024

Registered at 11100 86TH AVE N, MAPLE GROVE, MN 553694529 (Tel: 7637554275)

πŸ‘€
Provider Name / Credentials (Initial Record) December 17, 2024

Recorded as MCKENZIE LARSON, COTA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2024

Occupational Therapy Assistant

🟒
Initial NPI Registration & Enumeration December 17, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104633684
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 17, 2024
Last Update: April 01, 2026
Sole Proprietor: No

Mailing Address

11100 86th Ave N

Maple Grove, MN 553694529

Phone: 7637554275

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.