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

Miranda Massey, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1417643164

Miranda Massey, OTR/L is a Pediatric Occupational Therapist in Plymouth, Minnesota. Licensed in Minnesota. Registered with an NPI since 2023.

Licensed in
MN
In the registry since
2023
Specialties on file
2
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

14130 23rd Ave N
Plymouth, MN 55447
Phone: (763) 383-7666
Fax: (763) 383-6013
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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 107151 (MN)
Pediatric Occupational Therapist Taxonomy 225XP0200X · Licence 107151 (MN)

Record details

NPI number1417643164
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedApril 14, 2023
Last updated in NPPESDecember 6, 2023
Certification dateApril 14, 2023

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