Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Benjamin Frederick Stagg, OTR/L

Individual provider Occupational Therapist · NPI 1265113062

Benjamin Frederick Stagg, OTR/L is an Occupational Therapist in Bloomington, Minnesota. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

900 W 94th St
Bloomington, MN 55420-4206
Phone: (651) 738-9888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1265113062
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedJuly 26, 2023
Last updated in NPPESJuly 26, 2023
Certification dateJuly 26, 2023
Mailing address900 W 94th St, Bloomington, MN 55420-4206

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