OrganizationActive
Evolvewell Occupational Therapy LLC
NPI 1609320605 · Occupational Therapist · White Bear Lake, MN
Provider details
- NPI number
- 1609320605
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jessica Engman, Owner/Clinical Director(651) 558-1054
- License
- 101822 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
5842 Hobe Ln
White Bear Lake, MN 55110-6477
Phone: (651) 558-1054
Street-level locationGet directions
Mailing address
5842 Hobe Ln
White Bear Lake, MN 55110-6477
Registry dates
- Enumerated
- 2016-08-08
- Last updated
- 2025-12-29
- Certified
- 2025-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.