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

Individual provider Occupational Therapist · NPI 1265545776

Kristeen Laura Groth, OTR is an Occupational Therapist in Private Practice in Shoreview, Minnesota. Qualified in 1993, 33 years ago. Practices with Fairview Express Care, a 1,964-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
33
Licensed in
MN
In the registry since
2006
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

1768 Oakwood Dr Ste 120
Shoreview, MN 55126-4939
Phone: (612) 730-8272
Fax: (866) 409-6687
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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 100848 (MN)

Record details

NPI number1265545776
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedAugust 17, 2006
Last updated in NPPESApril 7, 2017

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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