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

Kati Riley Waalk, OTD

Individual provider Pediatric Occupational Therapist · NPI 1083599112

Kati Riley Waalk, OTD is an Occupational Therapist in Private Practice in New Hope, Minnesota. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2025, 1 year ago. Licensed in Minnesota.

Years since qualifying
1
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
MN
In the registry since
2025
Specialties on file
2
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.

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Practice location Address checks out

9220 Bass Lake Rd Ste 260
New Hope, MN 55428-3019
Phone: (763) 553-0363
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 107887 (MN)
Pediatric Occupational Therapist Taxonomy 225XP0200X · Licence 107887 (MN)

Record details

NPI number1083599112
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD
Sole proprietorNo
NPI enumeratedAugust 7, 2025
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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