Individual provider Active NPI

Cindi Edwards, OT

  • Occupational Therapist
  • Winner, SD
National Provider Identifier
1124005509
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0600 Issued in SD
Practice address
825 E 8TH St
Suite 204
Winner, SD 57580-2633
Phone
(605) 842-7188
Fax
(605) 842-7189
NPI assigned
Dec 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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 0600 SD Primary

Addresses

Primary practice location

825 E 8TH St
Suite 204
Winner, SD 57580-2633

Mailing address

PO Box 435
Winner, SD 57580-0435
Phone (605) 842-7188

Other identifiers 6

IdentifierTypeStateIssuer
15919OtherSDAVERA HEALTH PLAN
5836162OtherSDMEDICAID
4994329OtherSDWELLMARK
55655OtherSDSANDFORD HEALTH PLAN
5836160OtherSDMEDICAID
9255242OtherSDDAKOTA CARE

Other names 1

  • Cindi Frank Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051103000681 SD Practitioner - Occupational Therapist in Private Practice 5698793156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winner Physical Therapy IncGroup PAC ID 1759363690, 6 clinicians

Practice addresses (Care Compare)

825 E 8TH St
Suite 204
Winner, SD 57580-2633
Phone (605) 842-7188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
802NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Winner Physical Therapy Inc Occupational Therapist CurrentSince Oct 17, 2005 Accepting new patients
Omaha Therapy, Inc Past Accepting new patients

Locations

116 N Main Ave
Presho, SD 57568
Phone (605) 842-7188

825 E 8th St
Ste 204
Winner, SD 57580
Phone (605) 842-7188

Organizations & group practices 2

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1124005509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 435",
            "city": "WINNER",
            "state": "SD",
            "postal_code": "575800435",
            "telephone_number": "605-842-7188",
            "fax_number": "605-842-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E 8TH ST",
            "address_2": "SUITE 204",
            "city": "WINNER",
            "state": "SD",
            "postal_code": "575802633",
            "telephone_number": "605-842-7188",
            "fax_number": "605-842-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "CINDI",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SD",
            "license": "0600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVERA HEALTH PLAN",
            "identifier": "15919",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "5836162",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "4994329",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANDFORD HEALTH PLAN",
            "identifier": "55655",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "5836160",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTA CARE",
            "identifier": "9255242",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDI",
            "last_name": "FRANK",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winner, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.

Verify at the official NPI Registry.