Lacey Konickson, MOT
NPI 1073703690 · Occupational Therapist · Thief River Falls, MN
Enrolled with Medicare as Practitioner - Occupational Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lacey Konickson, MOT is a Occupational Therapist provider in Thief River Falls, MN (NPI 1073703690).
Provider details
- NPI number
- 1073703690
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MOT
- Sex
- Female
- Sole proprietor
- No
- License
- 103465 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-07-30
- Last updated
- 2024-07-26
- Certified
- 2024-07-26
Frequently asked questions
- What is Lacey Konickson's NPI number?
- Lacey Konickson's National Provider Identifier (NPI) is 1073703690, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lacey Konickson's specialty?
- Lacey Konickson is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Lacey Konickson located?
- Lacey Konickson's practice location on file with NPPES is 3001 Sanford Pkwy, Thief River Falls, MN 56701-2700.
- What is Lacey Konickson's phone number?
- The practice phone number listed in the NPPES registry for Lacey Konickson is (701) 780-5000.
- Does Lacey Konickson accept Medicare?
- Lacey Konickson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lacey Konickson's NPI active?
- Yes — Lacey Konickson's NPI (1073703690) is active in the NPPES registry as of the last update on 2024-07-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.