Individual provider Active NPI

Melissa Jo Osbeck, OTR/L

  • Occupational Therapist
  • Brookings, SD
National Provider Identifier
1104077932
Registry record updated Oct 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0295 Issued in SD
Practice address
649 Park Ave
Brookings, SD 57006-3534
Phone
(605) 692-8615
NPI assigned
Oct 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2008

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 0295 SD Primary

Addresses

Primary practice location

649 Park Ave
Brookings, SD 57006-3534

Mailing address

649 Park Ave
Brookings, SD 57006-3534
Phone (605) 692-8615

Other identifiers 1

IdentifierTypeStateIssuer
1005505OtherSDNATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY

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

NPI Registry JSON

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223596800000",
    "number": "1104077932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 PARK AVE",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570063534",
            "telephone_number": "605-692-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 PARK AVE",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570063534",
            "telephone_number": "605-692-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBECK",
        "first_name": "MELISSA",
        "middle_name": "JO",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SD",
            "license": "0295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY",
            "identifier": "1005505",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.

Verify at the official NPI Registry.