Active NPI
Beth M Micke, OT
- Occupational Therapist
- Sioux Falls, SD
National Provider Identifier
1023004199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0464
- Practice address
- 2501 W 26TH St
Sioux Falls, SD 57105-2446 - Phone
- (605) 782-2300
- Fax
- (605) 782-2301
- NPI assigned
- Sep 23, 2005
- 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 | 0464 | SD | Primary |
Addresses
Primary practice location
2501 W 26TH St
Sioux Falls, SD 57105-2446
Mailing address
2501 W 26TH St
Sioux Falls, SD 57105-2446
Phone (605) 782-2300
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31685 | Other | SD | SIOUX VALLEY HEALTH PLANS |
| 4996085 | Other | SD | BLUE CROSS BLUE SHIELD SD |
| 64-04068 | Other | SD | MEDICA |
| 64-04070 | Other | SD | MEDICA |
| 101K4MI | Other | SD | BLUE CROSS BLUE SHIELD MN |
| 64-05328 | Other | SD | MEDICA |
| 5834110 | Medicaid | SD | |
| 5834113 | Medicaid | SD | |
| 4996086 | Other | SD | BLUE CROSS BLUE SHIELD SD |
| 4996087 | Other | SD | BLUE CROSS BLUE SHIELD SD |
| 64-04069 | Other | SD | MEDICA |
| 4994834 | Other | SD | BLUE CROSS BLUE SHIELD SD |
| 5834112 | Medicaid | SD | |
| 1907880 | Other | SD | ARAZ |
| 5834114 | Medicaid | SD |
Other names 1
- Beth M Zarbock
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0464 | SD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206921600000",
"number": "1023004199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 W 26TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571052446",
"telephone_number": "605-782-2300",
"fax_number": "605-782-2301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 W 26TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571052446",
"telephone_number": "605-782-2300",
"fax_number": "605-782-2301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICKE",
"first_name": "BETH",
"middle_name": "M",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-23",
"last_updated": "2008-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SD",
"license": "0464",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIOUX VALLEY HEALTH PLANS",
"identifier": "31685",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD SD",
"identifier": "4996085",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "64-04068",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "64-04070",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MN",
"identifier": "101K4MI",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "64-05328",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5834110",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5834113",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD SD",
"identifier": "4996086",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD SD",
"identifier": "4996087",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "64-04069",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD SD",
"identifier": "4994834",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5834112",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ",
"identifier": "1907880",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5834114",
"state": "SD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BETH",
"last_name": "ZARBOCK",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sioux Falls, SD
- Michelle Buseman DC PC
- Michelle Menke Speech Therapy
- Michelle Vandenhul, LLC
- Michelle Wenge Counseling Therapy Services
- Allison Michels
- Mickenna Andersen (Middle Path Counseling LLC)
- Michelle Rae Micucci, RN
- Alex Middendorf, PHARMD, MBA
- Grant Jacob Middendorff, PHARMD
- Midland Brotherhood Homecare Services LLC (Midbro)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.