PDR MAPLEWOOD INC NPI 1356454391

NPI Information

  • NPI: 1356454391
  • Provider Name: PDR MAPLEWOOD, INC
  • Classification: Occupational Therapist - 225X00000X
  • Entity Type: Organization
  • Address: 2520 WHITE BEAR AVE N
    SUITE A
    MAPLEWOOD, MN
    ZIP 55109
  • Phone: (651) 777-6507

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NPI Details

PDR MAPLEWOOD, INC is an occupational therapist in Maplewood, MN. The provider is 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. PDR MAPLEWOOD, INC NPI is 1356454391. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2520 WHITE BEAR AVE N
SUITE A
MAPLEWOOD, MN
ZIP 55109-136
Phone: (651) 777-6507

The provider's authorized official is Todd Wallace Ginkel .
The authorized official title is President/owner and has the following contact phone number (952) 908-2700.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorMINNESOTANo
2208100000XPhysical Medicine & RehabilitationMINNESOTANo
3208D00000XGeneral PracticeMINNESOTANo
4225100000XPhysical TherapistMINNESOTANo
5225X00000XOccupational TherapistMINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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