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

Stephanie L Blossomgame, OTR/L

Individual provider Occupational Therapist · NPI 1730935834

Stephanie L Blossomgame, OTR/L is an Occupational Therapist in Private Practice in Rogers, Minnesota. Qualified in 2000, 26 years ago. Practices with Fox Rehabilitation Services Mn LLC, a 62-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
26
Licensed in
MN
In the registry since
2024
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

20600 S Diamond Lake Rd
Rogers, MN 55374
Phone: (763) 428-4315
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 103651 (MN)

Record details

NPI number1730935834
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedApril 29, 2024
Last updated in NPPESDecember 30, 2024
Certification dateDecember 30, 2024

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)
Group practice Fox Rehabilitation Services Mn Llc — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rogers