Individual provider Active NPI

Abby Raveling

  • Occupational Therapist
  • Sioux Falls, SD
National Provider Identifier
1083253942
Registry record updated Dec 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1142 Issued in SD
Practice address
1810 S Dorothy Ave
Sioux Falls, SD 57106-3826
Phone
(605) 356-8888
NPI assigned
Dec 24, 2019
Last updated
Dec 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1142 SD Primary

Addresses

Primary practice location

1810 S Dorothy Ave
Sioux Falls, SD 57106-3826

Mailing address

2965 E Tarpon Dr
Meridian, ID 83642-9009
Phone (208) 287-9420

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.healthcare4ppl.com/medical-group/idaho/eagle/caring-edge-op-llc-6406114131.html

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1142SDMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577145600000",
    "number": "1083253942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 E TARPON DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429009",
            "telephone_number": "208-287-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 S DOROTHY AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571063826",
            "telephone_number": "605-356-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVELING",
        "first_name": "ABBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-24",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SD",
            "license": "1142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.healthcare4ppl.com/medical-group/idaho/eagle/caring-edge-op-llc-6406114131.html",
            "affiliation": "N",
            "address_1": "1810 S Dorothy Ave",
            "city": "Sioux Falls",
            "state": "SD",
            "country_code": "US",
            "postal_code": "571063826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.