| Nicole Motz, OTD, OTR/L | |
|
9220 Bass Lake Rd Ste 260, New Hope, MN 55428-3019 | |
| (763) 533-0363 | |
| Not Available |
| Full Name | Nicole Motz |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 9220 Bass Lake Rd Ste 260, New Hope, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356049860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 107065 (Minnesota) | Primary |
| Provider Name | Fairview Express Care |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Provider Name | Healtheast Outpatient Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1225382526 PECOS PAC ID: 0941447304 Enrollment ID: O20130503000040 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Motz, OTD, OTR/L 5995 Lincoln Dr Apt 262, Edina, MN 55436-6108 Ph: () - | Nicole Motz, OTD, OTR/L 9220 Bass Lake Rd Ste 260, New Hope, MN 55428-3019 Ph: (763) 533-0363 |
Brennah Mae Fulton, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 9220 Bass Lake Rd Ste 260, New Hope, MN 55428 Phone: 763-533-0363 | |
Bryden Giving, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 9220 Bass Lake Rd Ste 260, New Hope, MN 55428 Phone: 763-533-0363 | |
Eunjin Kim, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3832 Hillsboro Ave N, New Hope, MN 55427 Phone: 857-753-0993 | |
Karah Stangret, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5430 Boone Ave N, New Hope, MN 55428 Phone: 763-592-2600 | |
Aspen Stebbins, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4900 Highway 169 N Ste 100, New Hope, MN 55428 Phone: 612-877-8800 Fax: 612-877-8801 | |
Emily Rebecca Gralinski, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5430 Boone Ave N, New Hope, MN 55428 Phone: 763-592-2600 |