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

Lydia Mitchelle Kaufman

Individual provider Occupational Therapist · NPI 1407268022

Lydia Mitchelle Kaufman is an Occupational Therapist in Private Practice in Bloomington, Minnesota. Qualified in 1999, 27 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
27
Licensed in
TX
In the registry since
2014
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Practice location Address checks out

5800 American Blvd W Apt 528
Bloomington, MN 55437-1489
Phone: (310) 497-1035
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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 111624 (TX)

Record details

NPI number1407268022
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 2, 2014
Last updated in NPPESJune 11, 2015

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bloomington