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

Leah Vizenor

Individual provider Occupational Therapist · NPI 1184084022

Leah Vizenor is an Occupational Therapist in Private Practice in Stillwater, Minnesota. Qualified in 1993, 33 years ago. Practices with Tria Orthopaedic Center LLC, a 506-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
33
Licensed in
MN
In the registry since
2016

Practice location Address checks out

1500 Curve Crest Blvd W
Stillwater, MN 55082-6040
Phone: (651) 439-1234
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 100442 (MN)

Record details

NPI number1184084022
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 4, 2016
Last updated in NPPESMarch 4, 2016
Mailing address1500 Curve Crest Blvd W, Stillwater, MN 55082-6040

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 Tria Orthopaedic Center Llc — 506 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Stillwater