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

Samuel Bornhorst, OTR

Individual provider Occupational Therapist · NPI 1144071879

Samuel Bornhorst, OTR is an Occupational Therapist in Private Practice in Edina, Minnesota. Qualified in 2000, 26 years ago. Licensed in Minnesota.

Years since qualifying
26
Licensed in
MN
In the registry since
2024
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

3400 W 66th St Ste 240
Edina, MN 55435-2100
Phone: (952) 857-0304
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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 102766 (MN)

Record details

NPI number1144071879
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR
Sole proprietorNo
NPI enumeratedMarch 29, 2024
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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