Active NPI
Elizabeth Marie Zemlicka, OT
- Occupational Therapist
- Watertown, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1028
- Practice address
- 901 14TH Ave NE
Watertown, SD 57201-6817 - Phone
- (605) 954-4264
- Fax
- (605) 799-1461
- NPI assigned
- Sep 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1028 | SD | Primary |
Addresses
Primary practice location
901 14TH Ave NE
Watertown, SD 57201-6817
Mailing address
107 1St St SW
Watertown, SD 57201-4208
Phone (701) 202-9048
Other names 1
- Elizabeth Marie Nutsch
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1950 E 4TH St
Pierre, SD 57501-4201
Phone (605) 945-6121
901 14TH Ave NE
Watertown, SD 57201-6817
Phone (605) 954-4264
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1028 | SD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caring Edge Op LLC | Current | Accepting new patients |
Locations
815 S Bridgeway Pl
Ste 122
Eagle, ID 83616
Phone (208) 972-0918
2965 E Tarpon Dr
Ste 150
Meridian, ID 83642
Phone 2082879420110
1950 E 4th St
Pierre, SD 57501
Phone (605) 494-3400
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657238400000",
"number": "1013490952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 1ST ST SW",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572014208",
"telephone_number": "701-202-9048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 14TH AVE NE",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572016817",
"telephone_number": "605-954-4264",
"fax_number": "605-799-1461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEMLICKA",
"first_name": "ELIZABETH",
"middle_name": "MARIE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-06",
"last_updated": "2022-07-08",
"certification_date": "2022-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SD",
"license": "1028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "NUTSCH",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Watertown, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.