Stephanie Blonigen, OT
Occupational Therapist in Saint Cloud, MN. Individual provider (NPI-1).
NPI number1700326428
StatusActive
Last updated in NPPESFeb 28, 2017
Details
- NPI
- 1700326428
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Blonigen
- Credential
- OT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2017
- Last updated
- Feb 28, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 104352 | MN | Yes |
Practice location
2835 W Saint Germain StSuite 300
Saint Cloud, MN 56301-6280
Phone 320-259-4151 · Fax 320-259-5707
Mailing address
2835 W Saint Germain StSuite 300
Saint Cloud, MN 56301-6280
Phone 320-259-4151 · Fax 320-259-5707
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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