Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jordan Alexis Mills, OTR/L

Individual provider Occupational Therapist · NPI 1093592479

Jordan Alexis Mills, OTR/L is an Occupational Therapist in Private Practice in Brooklyn Park, Minnesota. Qualified in 2023, 3 years ago. Licensed in Minnesota.

Years since qualifying
3
Licensed in
MN
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

5601 96th Ave N Ste 100
Brooklyn Park, MN 55443-4505
Phone: (763) 786-9543
Fax: (763) 786-3320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 107298 (MN)

Record details

NPI number1093592479
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedSeptember 11, 2023
Last updated in NPPESOctober 3, 2023
Certification dateOctober 3, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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