Provider Demographics
NPI:1124517677
Name:ALBARADO, JOSHUA ALLAN (OTR/L, CHT)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:ALLAN
Last Name:ALBARADO
Suffix:
Gender:M
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 AMERICAN BLVD W STE 300
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55431-4442
Mailing Address - Country:US
Mailing Address - Phone:952-512-5600
Mailing Address - Fax:
Practice Address - Street 1:2651 HILLCREST DR STE 101
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-9919
Practice Address - Country:US
Practice Address - Phone:800-423-1088
Practice Address - Fax:651-275-2795
Is Sole Proprietor?:No
Enumeration Date:2018-05-09
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN105573225X00000X, 225X00000X
WI6154-26225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist