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

Individual provider Occupational Therapist · NPI 1376750893

Stephanie Ann Smith, OTRL is an Occupational Therapist in Private Practice in Fridley, Minnesota. Qualified in 2005, 21 years ago. Practices with Aegis Group Practice LLC, a 406-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
21
Licensed in
MN
In the registry since
2007
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Practice location Address checks out

550 Osborne Rd NE
Fridley, MN 55432-2718
Phone: (763) 236-3001
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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 103214 (MN)

Record details

NPI number1376750893
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTRL
Sole proprietorNo
NPI enumeratedMay 16, 2007
Last updated in NPPESDecember 13, 2018
Mailing address3951 Constance Blvd Ne, Ham Lake, MN 55304-2773

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Aegis Group Practice Llc — 406 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fridley